Healthcare Provider Details

I. General information

NPI: 1750953212
Provider Name (Legal Business Name): FAITH CAROLINE RUOFF SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 HIGHLINE BLVD STE 200D
OKLAHOMA CITY OK
73108-1843
US

IV. Provider business mailing address

1001 S HOFF AVE
EL RENO OK
73036-4839
US

V. Phone/Fax

Practice location:
  • Phone: 405-945-0881
  • Fax:
Mailing address:
  • Phone: 405-637-1788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: