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Individual

DR. JONATHAN RUDIGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D., HSP

Contact information

Practice address
1310 24TH AVE. S., NASHVILLE, TN 37212
(615) 873-8459
Mailing address
1310 24TH AVE. S., NASHVILLE, TN 37212
(615) 873-8459

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2981
TN

Other

Enumeration date
09/08/2010
Last updated
05/17/2016
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