Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TERRY LEE RUDOLPH, PH.D
ActiveDR. TERRY LEE RUDOLPH, PH.D is a Clinical Psychologist healthcare provider located in ROSEVILLE, Michigan. NPI 1154320489 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ROSEVILLE, MI
Registration Details
- NPI Number
- 1154320489
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2005 (21.04423292434 yrs)
- Last Updated
- Mar 8, 2011
- Licenses
-
6301003357 (MI)003357 (MI)
Practice Information
- Address
-
25779 KELLY ROADROSEVILLE, MI, 480664973Browse MI providers · Browse ZIP 48066
- Phone
- 5867747987
- Fax
- 5867747263
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in ROSEVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| MS. LISA GAYE BROOKS | LLP | 1164450995 |
| DR. ELIZABETH CORNELIA DEROOY | PH.D. | 1477603397 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.