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Mrs. Liza Raquel Rudolph, PHD
Clinical Psychologist in West Lafayette, Indiana
NPI 1003863382

Liza Raquel Rudolph is a Clinical Psychologist based in West Lafayette, IN and is specialized in Clinical. Liza Raquel Rudolph practices in West Lafayette, IN and has the professional credentials of PHD. The NPI Number for Liza Raquel Rudolph is 1003863382 and holds a License No. 200251030 (Indiana).

The current practice location address for Liza Raquel Rudolph is 255 E Sunset Ln, West Lafayette, IN and can be reached out via phone at 765-532-9084 and via fax at 765-447-9659. You can also correspond with Liza Raquel Rudolph through the mailing address at PO BOX 3884, WEST LAFAYETTE, IN - 47996-3884 (mailing address contact number: 765-532-9084).

Location: 255 E Sunset Ln, West Lafayette, IN, 47996-3884
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003863382
Provider Name
Liza Raquel Rudolph
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
255 E Sunset Ln, West Lafayette, IN, 47996-3884
Phone Number
765-532-9084
Fax Number
765-447-9659
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000378693 01 IN BLUE CROSS/BLUE SHIELD
251277 01 IN VALUE OPTIONS
200251030B 05 IN
284435000 01 IN MAGELLAN
institution
Provider Business Practice Location Address Details
Address
255 E Sunset Ln
City
West Lafayette
State
Indiana
Zip
47906-2456
Phone Number
765-532-9084
Fax Number
765-447-9659
person
Provider Business Mailing Address Details
Address
Po Box 3884
City
West Lafayette
State
Indiana
Zip
47996-3884
Phone Number
765-532-9084
Fax Number
765-447-9659
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
200251030 (Indiana)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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