Ira Douglas Rudolph in Boston - Psychologist
Ira Douglas Rudolph - NPI 1619034246
Ira Douglas Rudolph is a Psychologist in Boston, Massachusetts. Ira Douglas Rudolph practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ira Douglas Rudolph is 1619034246. The last update date is 2007-07-08.
Ira Douglas Rudolph's current location address is 45 Newbury Street Suite 404, Boston, Massachusetts. You can contact this provider via phone number 6175362052. The mailing address for Ira Douglas Rudolph is 45 Newbury Street Suite 404, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ira Douglas Rudolph |
|---|---|
| Address | 45 Newbury Street Suite 404, Boston, Massachusetts |
| Phone Number | 6175362052 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1619034246 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 45 Newbury Street Suite 404 |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 2116 |
| Phone Number | 6175362052 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 4466 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code assigned to Ira Douglas Rudolph by the Centers for Medicare & Medicaid Services?
The Ira Douglas Rudolph has been issued the NPI (National Provider Identifier) 1619034246 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ira Douglas Rudolph's facilities are situated?
The facilities of Ira Douglas Rudolph are physically located at the following address: 45 Newbury Street Suite 404, Boston, MA, 2116.
What is the Ira Douglas Rudolph's specialty and taxonomy code?
The Ira Douglas Rudolph's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619034246 to Ira Douglas Rudolph?
The Centers for Medicare & Medicaid Services assigned the 1619034246 to Ira Douglas Rudolph on 2007-01-02.
As of what date were the details pertaining to Ira Douglas Rudolph last refreshed?
The information related to the Ira Douglas Rudolph, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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