Individual provider · Type 1 NPI

Terry Lee Rudolph, PhD

Clinical Psychologist · Roseville, MI

NPI number 1154320489 Active

Practice location

25779 Kelly Road
Roseville, MI 48066-4973

Fax (586) 774-7263

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X6301003357 (MI)
Clinical Psychologist Primary 103TC0700X003357 (MI)

Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1154320489

Terry Lee Rudolph, PhD's National Provider Identifier is 1154320489, issued on Jul 19, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Roseville, MI. The record was last updated on Mar 8, 2011.