| Doctor Name: | MR. TIMOTHY J. RUDEN |
| NPI Number: | 1073707147 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | CC00038 |
| Business Practice Address: | 4640 Slater Rd Ste 120 Eagan, MN - 551224043 |
| Business Phone Number: | 6518825161 |
| Business Fax Number: | |
| Mailing Address: | 4640 Slater Rd Ste 120, EAGAN |
| State: | MN |
| Postal Code: | 551224043 |
| Phone Number: | 6518825161 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2007 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CC00038 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |