Provider Demographics
NPI:1316048499
Name:RUFF, JUDITH ELLEN (MA LMFT)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ELLEN
Last Name:RUFF
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:ELLEN
Other - Last Name:NESHEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 SOUTH 11TH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62703
Mailing Address - Country:US
Mailing Address - Phone:217-525-0500
Mailing Address - Fax:217-525-0554
Practice Address - Street 1:120 SOUTH 11TH ST
Practice Address - Street 2:CATHOLIC CHARITIES
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62703
Practice Address - Country:US
Practice Address - Phone:217-525-0500
Practice Address - Fax:217-525-0554
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist