Healthcare Provider Details

I. General information

NPI: 1437321403
Provider Name (Legal Business Name): STEVEN JOHN RUFF M.A., LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2008
Last Update Date: 03/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9220 BASS LAKE RD SUITE 260
NEW HOPE MN
55428-3000
US

IV. Provider business mailing address

9220 BASS LAKE RD SUITE 260
NEW HOPE MN
55428-3000
US

V. Phone/Fax

Practice location:
  • Phone: 763-533-0363
  • Fax: 763-533-0842
Mailing address:
  • Phone: 763-533-0363
  • Fax: 763-533-0842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1718
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: