NPI 1003863382

Liza Raquel Rudolph, PHD

Practitioner Clinical Psychologist West Lafayette, IN

Practice location

Address: 255 E Sunset Ln, West Lafayette, IN 47906-2456
Phone: (765) 532-9084
Fax: (765) 447-9659
Mailing address: PO Box 3884, West Lafayette, IN 47996-3884

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 200251030 (IN)

Other Psychologist providers in Indiana →

Registry record

NPI: 1003863382
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2006
Record last updated: 5 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.