Healthcare Provider Details

I. General information

NPI: 1629969076
Provider Name (Legal Business Name): TERRI LYNN BOND CDCES, NBC-HWC,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TERRI LYNN RUFF

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FAWNWOOD DR
SCRANTON PA
18504-1056
US

IV. Provider business mailing address

1 FAWNWOOD DR
SCRANTON PA
18504-1056
US

V. Phone/Fax

Practice location:
  • Phone: 610-662-7818
  • Fax:
Mailing address:
  • Phone: 610-662-7818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: