Healthcare Provider Details

I. General information

NPI: 1356250989
Provider Name (Legal Business Name): DOROTHY MAUDE RUOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 PALMER CIR STE 100
NORMAN OK
73069-6351
US

IV. Provider business mailing address

2405 PALMER CIR STE 100
NORMAN OK
73069-6351
US

V. Phone/Fax

Practice location:
  • Phone: 405-561-7928
  • Fax: 405-310-9944
Mailing address:
  • Phone: 405-561-7928
  • Fax: 405-310-9944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number133237
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number21715
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: