Healthcare Provider Details

I. General information

NPI: 1689698136
Provider Name (Legal Business Name): THOMAS RUF PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 11/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2938 LAKE HOLLOW RD
HILLIARD OH
43026-7977
US

IV. Provider business mailing address

2938 LAKE HOLLOW RD
HILLIARD OH
43026-7977
US

V. Phone/Fax

Practice location:
  • Phone: 614-406-5336
  • Fax: 614-752-0385
Mailing address:
  • Phone: 614-406-5336
  • Fax: 614-752-0385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number4924
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: