DR. Terry Lee Rudolph, PH.D

NPI #1154320489 in Roseville, Michigan

Provider Information

NPI Number
1154320489
Entity Type
Individual
Name
DR. Terry Lee Rudolph, PH.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PH.D
Enumeration Date
Jul 19, 2005
Last Updated
Mar 8, 2011

Practice Location

Address
25779 KELLY ROAD
ZIP Code
48066-4973
Phone
(586) 774-7987

Specialties & Taxonomy Codes

Specialty
Psychologist
Psychologist - ClinicalClinical

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