Rudolph, Suzanne Marie
Rudolph, Suzanne Marie is an sole proprietor health care provider with primary practice located at 2619 W 11Th Street Rd Suite 23, Greeley CO 80634-5464. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Rudolph, Suzanne Marie can be contacted via phone (970) 203-0643.Contact Information
Primary practice address
2619 W 11Th Street Rd Suite 23
Greeley CO 80634-5464
Phone: (970) 203-0643
Fax: (970) 351-7165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1815 | Colorado |
Profile Details
| NPI number | 1275575680 |
|---|---|
| LBN Legal business name | Rudolph, Suzanne Marie |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Jan 23rd, 2009 - about 17 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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