Provider Demographics
NPI:1699966697
Name:RUGGIERO, ELIZABETH (PHD, LPC, LMFT)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:RUGGIERO
Suffix:
Gender:
Credentials:PHD, LPC, LMFT
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:RUGGIERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LPC, LMFT
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-0395
Mailing Address - Country:US
Mailing Address - Phone:501-400-6570
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 395
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-0395
Practice Address - Country:US
Practice Address - Phone:501-400-6570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0807061101YP2500X
ARA04122007106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional