MEDICARE: CONNIE T RUGOLO MS/CCC-LP

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
1	235Z00000X	Speech-Language Pathologist	5392	MN
2	235Z00000X	Speech-Language Pathologist	SLP1770	AZ

General Provider Information

NPI Number	:	1942266093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONNIE T RUGOLO MS/CCC-LP

Provider Business Mailing Address
First Line	:	2929 E THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-8034
Country	:	US
Telephone Number	:	602-470-5000
Fax Number	:	602-470-5064

Provider Business Practice Location Address
First Line	:	3141 N 3RD AVE STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-4351
Country	:	US
Telephone Number	:	602-914-1594
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	05/27/2025

Similar Medicare Providers

1770558272 — MS. DEBORAH ROSE DICICCO FNP
Practice Location Address:

3141 N 3RD AVE , SUITE 100
PHOENIX, AZ
85013-4351

Practice Phone: 602-745-7953
Practice Fax: 602-745-7949

1124115175 — MRS. SHEELAGH WILLETT ANP-C
Practice Location Address:

3141 N 3RD AVE
PHOENIX, AZ
85013-4351

Practice Phone: 602-571-3903
Practice Fax:

1669547121 — JOHN EDWARD PACEY R. PH.
Practice Location Address:

3141 N 3RD AVE
PHOENIX, AZ
85013-4351

Practice Phone: 602-664-5494
Practice Fax: 602-664-5466

1023171840 — MERLE NUNEZ PALENCIA NP
Practice Location Address:

3141 N 3RD AVE STE 100
PHOENIX, AZ
85013-4351

Practice Phone: 602-745-7943
Practice Fax:

1982769683 — ELVIRA ARBIT NP
Practice Location Address:

3141 N 3RD AVE
PHOENIX, AZ
85013-4351

Practice Phone: 602-745-7933
Practice Fax:

1205983608 — ELLEN CAVANAUGH APRN
Practice Location Address:

3141 N 3RD AVE , AZ9501000
PHOENIX, AZ
85013-4351

Practice Phone: 602-745-7925
Practice Fax:

Directions to “ CONNIE T RUGOLO MS/CCC-LP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.