Liza Raquel Rudolph in West Lafayette - Clinical
Liza Raquel Rudolph - NPI 1003863382
Liza Raquel Rudolph is a Clinical in West Lafayette, Indiana. Liza Raquel Rudolph practices all healthcare services and medical treatments related to Clinical. The NPI Number for Liza Raquel Rudolph is 1003863382. The last update date is 2016-05-05.
Liza Raquel Rudolph's current location address is Po Box 3884, West Lafayette, Indiana. You can contact this provider via phone number 7655329084 and fax number 7654479659. The mailing address for Liza Raquel Rudolph is Po Box 3884, West Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Liza Raquel Rudolph |
|---|---|
| Address | Po Box 3884, West Lafayette, Indiana |
| Phone Number | 7655329084 |
| Fax Number | 7654479659 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1003863382 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2016-05-05 |
Provider Mailing Address Detail
| Address | Po Box 3884 |
|---|---|
| City | West Lafayette |
| State | Indiana (IN) |
| Post Code | 479963884 |
| Phone Number | 7655329084 |
| Fax Number | 7654479659 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 200251030 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 378693 | IN | BLUE CROSS/BLUE SHIELD | |
| 251277 | IN | VALUE OPTIONS | |
| 200251030B | IN | -- | |
| 284435000 | IN | MAGELLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Liza Raquel Rudolph by the Centers for Medicare & Medicaid Services?
The Liza Raquel Rudolph has been assigned the NPI (National Provider Identifier) 1003863382 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Liza Raquel Rudolph's facilities are geographically located?
The facilities of Liza Raquel Rudolph are physically situated at the following location: Po Box 3884, West Lafayette, IN, 479963884.
What is Liza Raquel Rudolph's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Liza Raquel Rudolph is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Liza Raquel Rudolph receive its 1003863382 assignment from the Centers for Medicare & Medicaid Services?
The Liza Raquel Rudolph was assigned its 1003863382 by the Centers for Medicare & Medicaid Services on 2006-05-30.
As of what date was the information pertaining to Liza Raquel Rudolph, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Liza Raquel Rudolph, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-05-05.