Dr Ted R Ruggles, PHD is a
Psychologist - Clinical based in Gasquet, California. Dr Ted R Ruggles is licensed to practice in California (license number PSY 8414) and his current practice location is
1520 Gasquet Flat, Gasquet, California. He can be reached at his office (for appointments etc.) via phone at
(707) 465-1000.
NPI number for Dr Ted R Ruggles is 1699117069 and his current mailing address is Po Box 67, 1520 Gasquet Flat, Gasquet, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699117069.
Healthcare Provider's Profile
| Full Name | Dr Ted R Ruggles |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1520 Gasquet Flat, Gasquet, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699117069
- Provider Enumeration Date: 07/25/2013
- Last Update Date: 07/25/2013
Medical Identifiers
Medical identifiers for Dr Ted R Ruggles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699117069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY 8414 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ted R Ruggles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ted R Ruggles, PHD
Po Box 67, 1520 Gasquet Flat,
Gasquet, CA 95543-0067
Ph: (707) 465-1000 | Dr Ted R Ruggles, PHD
1520 Gasquet Flat,
Gasquet, CA 95543-0067
Ph: (707) 465-1000 |
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