Individual
JOHN R RUDISILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 WOODMAN DR, SUITE 225, DAYTON, OH 45432-1446
(937) 254-9210
Mailing address
1020 WOODMAN DR, SUITE 225, DAYTON, OH 45432-1446
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2565
OH
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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