Individual
REBECCA DIANE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
464 DALY AVE, WISCONSIN RAPIDS, WI 54494-4746
(715) 423-2030
(715) 423-2032
Mailing address
464 DALY AVE, WISCONSIN RAPIDS, WI 54494-4746
(715) 423-2030
(715) 423-2032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2237057
WI
Other
Enumeration date
05/19/2006
Last updated
12/22/2010
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