Mrs Elizabeth Ann Rudolph, LLP is a
Psychologist - Clinical based in Walker, Michigan. Mrs Elizabeth Ann Rudolph is licensed to practice in Michigan (license number 6301014357) and her current practice location is
318 River Ridge Dr Nw, Walker, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 378-9260.
NPI number for Mrs Elizabeth Ann Rudolph is 1710262233 and her current mailing address is 27777 Inkster Rd Ste 100, Farmington Hills, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710262233.
Healthcare Provider's Profile
| Full Name | Mrs Elizabeth Ann Rudolph |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 318 River Ridge Dr Nw, Walker, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710262233
- Provider Enumeration Date: 10/16/2011
- Last Update Date: 03/03/2026
Medical Identifiers
Medical identifiers for Mrs Elizabeth Ann Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710262233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 6301014357 (Michigan) | 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. Mrs Elizabeth Ann 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 Address | Practice Location Address |
Mrs Elizabeth Ann Rudolph, LLP 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 Ph: (855) 772-8847 | Mrs Elizabeth Ann Rudolph, LLP 318 River Ridge Dr Nw, Walker, MI 49544-1654 Ph: (616) 378-9260 |
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