Provider Demographics
NPI:1750953212
Name:RUOFF, FAITH CAROLINE (SLPA)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:CAROLINE
Last Name:RUOFF
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 S HOFF AVE
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-4839
Mailing Address - Country:US
Mailing Address - Phone:405-637-1788
Mailing Address - Fax:
Practice Address - Street 1:4300 HIGHLINE BLVD STE 200D
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73108-1843
Practice Address - Country:US
Practice Address - Phone:405-945-0881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK242OtherOKLAHOMA STATE BOARD OF EXAMINERS SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY