Mrs Liza Raquel Rudolph, PHD in West Lafayette, IN

Mrs Liza Raquel Rudolph, PHD is a Psychologist - Clinical based in West Lafayette, Indiana. Mrs Liza Raquel Rudolph is licensed to practice in Indiana (license number 200251030) and her current practice location is 255 E Sunset Ln, West Lafayette, Indiana. She can be reached at her office (for appointments etc.) via phone at (765) 532-9084.

NPI number for Mrs Liza Raquel Rudolph is 1003863382 and her current mailing address is Po Box 3884, West Lafayette, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003863382.

Contact Information

	Mrs Liza Raquel Rudolph, PHD
	255 E Sunset Ln, West Lafayette, IN 47906-2456
	(765) 532-9084
	(765) 447-9659

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Liza Raquel Rudolph
Gender	Female
Speciality	Psychologist - Clinical
Location	255 E Sunset Ln, West Lafayette, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1003863382
Provider Enumeration Date: 05/30/2006
Last Update Date: 05/05/2016

Medical Identifiers

Medical identifiers for Mrs Liza Raquel Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003863382	NPI	-	NPPES
000000378693	Other	IN	BLUE CROSS/BLUE SHIELD
251277	Other	IN	VALUE OPTIONS
200251030B	Medicaid	IN
284435000	Other	IN	MAGELLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	200251030 (Indiana)	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 Liza Raquel 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 Liza Raquel Rudolph, PHD Po Box 3884, West Lafayette, IN 47996-3884 Ph: (765) 532-9084	Mrs Liza Raquel Rudolph, PHD 255 E Sunset Ln, West Lafayette, IN 47906-2456 Ph: (765) 532-9084

Reviews and Comments

Psychologist in West Lafayette, IN

Brianna Johnson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Drive, Purdue University Student Health Center, 2nd Floor, West Lafayette, IN 47907 Phone: 765-494-6995
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Dr. Rebecca L Wong, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 703 3rd St, Room 1120, West Lafayette, IN 47907 Phone: 765-494-6995 Fax: 765-496-3004
Dr. Clementina P Lo Proto, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3851 N River Rd, West Lafayette, IN 47906 Phone: 201-563-3740
Huey Mei Ng, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr Rm 246, West Lafayette, IN 47907 Phone: 765-494-6995

Mrs Liza Raquel Rudolph, PHD - Psychologist in West Lafayette, IN