Provider Demographics
NPI:1255999132
Name:RUFF, ASHLEE ELYSE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:ELYSE
Last Name:RUFF
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 7TH AVE # 308
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4194
Mailing Address - Country:US
Mailing Address - Phone:718-780-7828
Mailing Address - Fax:
Practice Address - Street 1:320 7TH AVE # 308
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4194
Practice Address - Country:US
Practice Address - Phone:718-780-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028631235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist