Provider Demographics
NPI:1386886406
Name:RUGAI, NICK (PHD)
Entity type:Individual
Prefix:DR
First Name:NICK
Middle Name:
Last Name:RUGAI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2585 E LAKE DR
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-3208
Mailing Address - Country:US
Mailing Address - Phone:570-332-8964
Mailing Address - Fax:
Practice Address - Street 1:2585 E LAKE DR
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-3208
Practice Address - Country:US
Practice Address - Phone:570-332-8964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor