Individual provider · Type 1 NPI
Eric Rudrud, PhD
Intellectual & Developmental Disabilities Psychologist · St. Cloud, MN
NPI number
1770815417
Active
Practice location
1913 14th St S
St. Cloud, MN 56301-4855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | LP2741 (MN) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1770815417
Eric Rudrud, PhD's National Provider Identifier is 1770815417, issued on Feb 5, 2010. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in St. Cloud, MN. The record was last updated on Feb 5, 2010.