DR. Suzanne Marie Rudolph, ED.D.

NPI #1275575680 in Greeley, Colorado

Provider Information

NPI Number: 1275575680
Entity Type: Individual
Name: DR. Suzanne Marie Rudolph, ED.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: ED.D.
Enumeration Date: Jun 11, 2006
Last Updated: Jan 23, 2009

Practice Location

Address: 2619 W 11TH STREET RD
Address 2: SUITE 23
City: Greeley
State: Colorado
ZIP Code: 80634-5464
Phone: (970) 203-0643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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