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Individual

DR. JOHN PIERRE RUDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, HSPP

Contact information

Practice address
3464 CINNAMON TRCE, KOKOMO, IN 46901-3981
(765) 860-9059
Mailing address
3464 CINNAMON TRCE, KOKOMO, IN 46901-3981
(765) 860-9059

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010449A
IN

Other

Enumeration date
09/02/2019
Last updated
09/02/2019
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