Provider Demographics
NPI:1841329828
Name:RUGRAFF, EARL WILLARD (PHD)
Entity type:Individual
Prefix:DR
First Name:EARL
Middle Name:WILLARD
Last Name:RUGRAFF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:EARL
Other - Middle Name:WILLARD
Other - Last Name:RUGRAFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR EARL RUGRAFF
Mailing Address - Street 1:3722 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-6105
Mailing Address - Country:US
Mailing Address - Phone:562-433-0604
Mailing Address - Fax:714-899-7837
Practice Address - Street 1:3722 E BROADWAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-6105
Practice Address - Country:US
Practice Address - Phone:562-433-0604
Practice Address - Fax:714-899-7837
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 17580103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist