MRS. Liza Raquel Rudolph, PH.D.

NPI #1003863382 in West Lafayette, Indiana

Provider Information

NPI Number: 1003863382
Entity Type: Individual
Name: MRS. Liza Raquel Rudolph, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: May 30, 2006
Last Updated: May 5, 2016

Practice Location

Address: 255 E SUNSET LN
City: West Lafayette
State: Indiana
ZIP Code: 47906-2456
Phone: (765) 532-9084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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