Individual
DR. ELLEN G RUDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD PSYD LCSW
Contact information
Practice address
16055 VENTURA BLVD STE 1110, ENCINO, CA 91436
(818) 784-7090
Mailing address
16055 VENTURA BLVD STE 1110, ENCINO, CA 91436
(818) 784-7090
(818) 981-3477
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
CERTIFICATE
CA
1041C0700X
Clinical Social Worker
000241
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA #000241
STATE OF CALIFORNIA
CA
Enumeration date
12/06/2006
Last updated
09/11/2025
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