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Mrs. Liza Raquel Rudolph

Clinical Psychologist

255 E Sunset Ln
West Lafayette , Indiana 47906-2456

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Image

Mrs. Liza Raquel Rudolph

Clinical Psychologist

255 E Sunset Ln
West Lafayette , Indiana 47906-2456

(765) 447-9659

Write a Review Save Call

Mrs. Liza Raquel Rudolph

Clinical Psychologist

255 E Sunset Ln
West Lafayette , Indiana 47906-2456

(765) 447-9659 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist

Languages spoken

  • English

Location

255 E Sunset Ln West Lafayette , Indiana 47906-2456

First Address

  • Mrs. Liza Raquel Rudolph
  • Po Box 3884
  • West Lafayette, IN
  • Zip : 47996-3884
  • Fax : (765) 447-9659
  • Phone : (765) 532-9084

Second Address

  • Mrs. Liza Raquel Rudolph
  • 255 E Sunset Ln
  • West Lafayette, IN
  • Zip : 47906-2456
  • Fax : (765) 447-9659
  • Phone : (765) 532-9084

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FAQs


Where did Mrs. Liza Raquel Rudolph attend graduate school?

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Where did Mrs. Liza Raquel Rudolph do her residency?

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Where did Mrs. Liza Raquel Rudolph do her fellowship?

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Is Mrs. Liza Raquel Rudolph board certified?

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What type of doctor is Mrs. Liza Raquel Rudolph

Clinical Psychologist

In what state does Mrs. Liza Raquel Rudolph practice in?

Indiana

Where is Mrs. Liza Raquel Rudolph ’s practice located?

255 E Sunset Ln , West Lafayette, Indiana, 47906-2456

What is Mrs. Liza Raquel Rudolph ’s gender?

Female

Is Mrs. Liza Raquel Rudolph a sole practitioner?

No

Is Mrs. Liza Raquel Rudolph accepting new patients?

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What languages does Mrs. Liza Raquel Rudolph speak?

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Does Mrs. Liza Raquel Rudolph accept insurance?

Yes, Mrs. Liza Raquel Rudolph accepts insurance

Does Mrs. Liza Raquel Rudolph offers telemedicine?

Mrs. Liza Raquel Rudolph has not indicated if she offers telemedicine

What is Mrs. Liza Raquel Rudolph ’s professional license number?

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What is Mrs. Liza Raquel Rudolph ’s NPI number?

1003863382

Does Mrs. Liza Raquel Rudolph have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103G00000X Clinical Psychologist 200251030 IN
Y 103TC0700X Clinical Psychologist 200251030 IN

National Provider Identifier

NPI 1003863382
Provider Name Mrs. Liza Raquel Rudolph
First Address West Lafayette, IN 47996-3884
Second Address West Lafayette, IN 47906-2456
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 30/05/2006
Last Update Date 05/05/2016

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000000378693 BLUE CROSS/BLUE SHIELD (01) IN
200251030B (05) IN
251277 VALUE OPTIONS (01) IN
284435000 MAGELLAN (01) IN
S89659 (02) IN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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