Rudic, Robin Addell

Rudic, Robin Addell is an individual health care provider with primary practice located at 1010 E 10Th St , Tucson AZ 85719-5813. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rudic, Robin Addell can be contacted via phone (520) 225-6410.

Contact Information

Primary practice address
1010 E 10Th St Tucson AZ 85719-5813
Fax: (520) 225-6410
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW013180 Pennsylvania
Behavioral Health & Social Service Providers / School 103TS0200X 3783803 Arizona

Profile Details

NPI number 1235111675
LBN Legal business name Rudic, Robin Addell
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235111675 NPPES
Pennsylvania Other 00664199 HIGHMARK
Pennsylvania MEDICAID 132932 HIGHMARK

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