Individual
DR. REBEKAH HUDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
717 DELAWARE ST SE, MINNEAPOLIS, MN 55414-2959
(651) 398-7987
Mailing address
420 DELAWARE ST SE, MAYO MAIL CODE 486, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
LP5664
MN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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