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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY J RUDDER

Active Sole Proprietor

TIMOTHY J RUDDER is a Clinical Social Worker healthcare provider located in COLUMBIA, Missouri. NPI 1356058028 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · COLUMBIA, MO

Registration Details

NPI Number
1356058028
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2022 (3.7983261029576 yrs)
Last Updated
Nov 2, 2022
License
2021001098 (MO)
Sole Proprietor
Yes

Practice Information

Address
2600 FORUM BLVD STE G
COLUMBIA, MO, 652036343
Browse MO providers · Browse ZIP 65203
Phone
5732399915
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in COLUMBIA, MO

Name Credential NPI
MS. LINDA F. GRAUE MSW, LCSW 1891792396
MR. DEAN W MARTH L.C.S.W 1578560678
ROBIN ELIZABETH MCCARTNEY MSW, LCSW 1518965805
DAVID R THOMAS LCSW 1134128150
MRS. JACQUELINE PEPPER LCSW 1225021728
MS. MELODY KAYE JORGENSON M.S.W., PLCSW 1437130648
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.