Individual
ALYSON ANNE RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2020 TALLEY RD, LEESBURG, FL 34748-3426
(352) 315-7800
(352) 360-6582
Mailing address
1311 RAIN FOREST LN, MINNEOLA, FL 34715-5623
(352) 315-7500
(352) 360-6582
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
MH 9286
FL
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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