| Dr Terry Lee Rudolph, PHD | |
|
25779 Kelly Road, Roseville, MI 48066-4973 | |
| (586) 774-7987 | |
| (586) 774-7263 |
| Full Name | Dr Terry Lee Rudolph |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 25779 Kelly Road, Roseville, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154320489 | NPI | - | NPPES |
| 68-0-E0-4564-0 | Other | MI | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301003357 (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | 003357 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terry Lee Rudolph, PHD 25779 Kelly Road, Roseville, MI 48066-4973 Ph: (586) 774-7987 | Dr Terry Lee Rudolph, PHD 25779 Kelly Road, Roseville, MI 48066-4973 Ph: (586) 774-7987 |
Ms. Gennea Nickole Moore, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18303 E 10 Mile Rd, Roseville, MI 48066 Phone: 248-469-9519 | |
Ms. Lisa Gaye Brooks, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 28491 Utica Rd, Roseville, MI 48066 Phone: 352-552-5686 | |
Tavia Turner, RMA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18758 Florence St, Roseville, MI 48066 Phone: 313-740-6084 | |
Dr. Elizabeth Cornelia Derooy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25869 Kelly Rd, Suite A, Roseville, MI 48066 Phone: 586-773-6020 Fax: 586-773-6093 | |
Brook Bernreuter, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18303 E 10 Mile Rd Ste 200, Roseville, MI 48066 Phone: 800-693-1916 | |
Michael Joseph Mooney, MA,LLP,CAC,CCS,CCJP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27730 Gratiot Ave Ste 202, Roseville, MI 48066 Phone: 586-772-5101 Fax: 586-772-5102 |