Charles E Rudolph, PHD - Psychologist in San Angelo, TX

Charles E Rudolph, PHD is a Psychologist - Clinical based in San Angelo, Texas. Charles E Rudolph is licensed to practice in Texas (license number 21568) and his current practice location is 3115 Loop 306, Suite 110, San Angelo, Texas. He can be reached at his office (for appointments etc.) via phone at (325) 942-1952.

NPI number for Charles E Rudolph is 1871527135 and his current mailing address is 3115 Loop 306, Suite 110, San Angelo, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871527135.

Contact Information

Charles E Rudolph, PHD
3115 Loop 306, Suite 110,
San Angelo, TX 76904-5983
(325) 942-1952
(325) 942-1517

Map and Direction




Healthcare Provider's Profile

Full NameCharles E Rudolph
GenderMale
SpecialityPsychologist - Clinical
Location3115 Loop 306, San Angelo, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871527135
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 05/20/2008

Medical Identifiers

Medical identifiers for Charles E Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871527135NPI-NPPES
87710AOtherTXBCBS PSHCHSPRING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 21568 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles E Rudolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles E Rudolph, PHD
3115 Loop 306, Suite 110,
San Angelo, TX 76904-5983

Ph: (325) 942-1952
Charles E Rudolph, PHD
3115 Loop 306, Suite 110,
San Angelo, TX 76904-5983

Ph: (325) 942-1952

Reviews and Comments


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