Provider Demographics
NPI:1679871529
Name:RUGGIERO, CARRIE M (SLP)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:M
Last Name:RUGGIERO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 NOLL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-7603
Mailing Address - Country:US
Mailing Address - Phone:717-481-8720
Mailing Address - Fax:717-481-8726
Practice Address - Street 1:2160 NOLL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-7603
Practice Address - Country:US
Practice Address - Phone:717-481-8720
Practice Address - Fax:717-481-8726
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005079L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist