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Dr. Terry Lee Rudolph, PHD
Clinical Psychologist in Roseville, Michigan
NPI 1154320489

Terry Lee Rudolph is a Clinical Psychologist based in Roseville, MI and is specialized in Clinical. Terry Lee Rudolph practices in Roseville, MI and has the professional credentials of PHD. The NPI Number for Terry Lee Rudolph is 1154320489 and holds a License No. 6301003357 (Michigan).

The current practice location address for Terry Lee Rudolph is 25779 Kelly Road, Roseville, MI and can be reached out via phone at 586-774-7987 and via fax at 586-774-7263.

Location: 25779 Kelly Road, Roseville, MI, 48066-4973
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154320489
Provider Name
Terry Lee Rudolph
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
25779 Kelly Road, Roseville, MI, 48066-4973
Phone Number
586-774-7987
Fax Number
586-774-7263
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
68-0-E0-4564-0 01 MI BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
25779 Kelly Road
City
Roseville
State
Michigan
Zip
48066-4973
Phone Number
586-774-7987
Fax Number
586-774-7263
person
Provider Business Mailing Address Details
Address
25779 Kelly Road
City
Roseville
State
Michigan
Zip
48066-4973
Phone Number
586-774-7987
Fax Number
586-774-7263
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
003357 (Michigan)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
6301003357 (Michigan)
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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