Charles E Rudolph in San Angelo - Clinical
Charles E Rudolph - NPI 1871527135
Charles E Rudolph is a Clinical in San Angelo, Texas. Charles E Rudolph practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles E Rudolph is 1871527135. The last update date is 2008-05-20.
Charles E Rudolph's current location address is 3115 Loop 306, San Angelo, Texas. You can contact this provider via phone number 3259421952 and fax number 3259421517. The mailing address for Charles E Rudolph is 3115 Loop 306, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles E Rudolph |
|---|---|
| Address | 3115 Loop 306, San Angelo, Texas |
| Phone Number | 3259421952 |
| Fax Number | 3259421517 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1871527135 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 3115 Loop 306 |
|---|---|
| City | San Angelo |
| State | Texas (TX) |
| Post Code | 769045983 |
| Phone Number | 3259421952 |
| Fax Number | 3259421517 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 21568 |
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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 |
|---|---|---|---|
| 87710A | TX | BCBS PSHCHSPRING |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Charles E Rudolph by the Centers for Medicare & Medicaid Services?
The Charles E Rudolph has been assigned the NPI (National Provider Identifier) 1871527135 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Charles E Rudolph?
The Charles E Rudolph is physically situated at 3115 Loop 306, in the city of San Angelo, state of TX, with the postal code 769045983.
What is Charles E Rudolph's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles E Rudolph is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Charles E Rudolph receive its 1871527135 assignment from the Centers for Medicare & Medicaid Services?
The Charles E Rudolph was assigned its 1871527135 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date was the information regarding Charles E Rudolph, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles E Rudolph, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-20.