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NPI Code Detail

MEDICARE: KRISTIN RUFFONI MS

MEDICARE:   KRISTIN  RUFFONI  MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist210247832CA

General Provider Information

NPI Number : 1174480560
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN RUFFONI MS
Provider Business Mailing Address
First Line : 6844 ALEXANDRIA PL
Second Line :
City : STOCKTON
State : CA
Zip : 95207-2498
Country : US
Telephone Number : 209-953-8953
Fax Number :
Provider Business Practice Location Address
First Line : 6844 ALEXANDRIA PL
Second Line :
City : STOCKTON
State : CA
Zip : 95207-2498
Country : US
Telephone Number : 209-953-8952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ KRISTIN RUFFONI MS” Practice Location

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