John R Rudisill

NPI #1871594853 in Dayton, Ohio

Provider Information

NPI Number: 1871594853
Entity Type: Individual
Name: John R Rudisill
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Enumeration Date: Aug 2, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1020 WOODMAN DR
Address 2: SUITE 225
City: Dayton
State: Ohio
ZIP Code: 45432-1446
Phone: (937) 254-9210

Specialties & Taxonomy Codes

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

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