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Individual

DR. SUZANNE MARIE RUDOLPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D.

Contact information

Practice address
2619 W 11TH STREET RD, SUITE 23, GREELEY, CO 80634-5464
(970) 203-0643
(970) 351-7165
Mailing address
2619 W 11TH STREET RD, SUITE 23, GREELEY, CO 80634-5464
(970) 203-0643
(970) 351-7165

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1815
CO

Other

Enumeration date
06/11/2006
Last updated
01/23/2009
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