Teresa L Rudisill is a Clinical in Dayton, Ohio. Teresa L Rudisill practices all healthcare services and medical treatments related to Clinical. The NPI Number for Teresa L Rudisill is 1114928181. The last update date is 2013-01-26.
Teresa L Rudisill's current location address is 1020 Woodman Dr, Dayton, Ohio. You can contact this provider via phone number 9372666914 and fax number 9374261882. The mailing address for Teresa L Rudisill is 1020 Woodman Dr, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa L Rudisill |
|---|---|
| Address | 1020 Woodman Dr, Dayton, Ohio |
| Phone Number | 9372666914 |
| Fax Number | 9374261882 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114928181 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2013-01-26 |
Provider Mailing Address Detail
| Address | 1020 Woodman Dr |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454321446 |
| Phone Number | 9372666914 |
| Fax Number | 9374261882 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4904 |
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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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What is the unique 10-digit identifier code assigned to Teresa L Rudisill by the Centers for Medicare & Medicaid Services?
The Teresa L Rudisill has been issued the NPI (National Provider Identifier) 1114928181 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Teresa L Rudisill's physical address?
The Teresa L Rudisill is physically located at 1020 Woodman Dr, in the city of Dayton, OH, with the postal code 454321446.
What is the Teresa L Rudisill's area of specialization and corresponding taxonomy classification?
The Teresa L Rudisill's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Teresa L Rudisill receive its 1114928181 assignment from the Centers for Medicare & Medicaid Services?
The Teresa L Rudisill was assigned its 1114928181 by the Centers for Medicare & Medicaid Services on 2005-08-02.
When was the information pertaining to Teresa L Rudisill most recently updated or revised?
The details related to Teresa L Rudisill, including its address, specialty, and other relevant information, were last updated or revised on 2013-01-26.