Organization
RUDISILL PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RUDISILL (OWNER/PROVIDER)
(937) 266-6914
Entity
Organization
Contact information
Practice address
1020 WOODMAN DR, STE 300, DAYTON, OH 45432-1446
(937) 266-6914
(937) 434-8590
Mailing address
1020 WOODMAN DR, STE 300, DAYTON, OH 45432-1446
(937) 266-6914
(937) 426-1882
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
01/26/2013
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