Individual
RODNEY W RUPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3560 DELAWARE ST, SUITE 502, BEAUMONT, TX 77706-3067
(409) 898-8497
(409) 899-9795
Mailing address
3560 DELAWARE ST, SUITE 502, BEAUMONT, TX 77706-3067
(409) 898-8497
(409) 899-9795
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21208
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035385602
—
TX
Enumeration date
06/19/2006
Last updated
02/09/2010
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