| Organization Name: | RUDBERG & RUDBERG, LLC |
| NPI Number: | 1073948501 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD L RUDBERG (PRESIDENT AND CFO) |
| Mailing Address: | 601 Broad Ave Belle Vernon |
| State: | PA US |
| Postal Code: | 150121564 |
| Phone Number: | 4124277495 |
| Fax Number: | 7242433161 |
| NPI Enumeration Date: | 09/03/2013 |
| NPI Last Update Date: | 09/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC000359 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |