Provider Demographics
NPI:1104061639
Name:RUGGLES, ARTHUR MERRIAM (MS)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:MERRIAM
Last Name:RUGGLES
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 52153
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71135-2153
Mailing Address - Country:US
Mailing Address - Phone:318-797-7779
Mailing Address - Fax:318-797-7779
Practice Address - Street 1:2620 CENTENARY BLVD.
Practice Address - Street 2:BLDG.3,, STE. 304 MEECE & ASSOCIATES, L.L.C.
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104
Practice Address - Country:US
Practice Address - Phone:318-226-1555
Practice Address - Fax:318-226-0406
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA763103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling