Whalio Doctors

NPI 1104160241

Mark Louis Ruffalo, MSWACSWLCSW

Practitioner Psychoanalyst Tampa, FL

Practice location

Address
10335 Cross Creek Blvd Suite 15, Tampa, FL 33647-2795
Phone
(727) 266-0270

Registered specialties (3)

Psychoanalyst Primary
Behavioral Health & Social Service Providers Taxonomy 102L00000X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C009504 (NC)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SW12857 (FL)

Registry record

NPI
1104160241
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Nov 2012
Record last updated
20 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.