Individual
TERESA L RUDISILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 WOODMAN DR, SUITE300, DAYTON, OH 45432-1446
(937) 266-6914
(937) 426-1882
Mailing address
2817 TORREY PNES, BEAVERCREEK, OH 45431-8614
(937) 266-6914
(937) 426-1882
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4904
OH
Other
Enumeration date
08/02/2005
Last updated
01/26/2013
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