Individual
MARISSA RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(800) 329-8387
Mailing address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(800) 329-8387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60758338
WA
Other
Enumeration date
06/30/2016
Last updated
04/09/2022
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