Doctor Name: | MARY R. RUDBERG |
NPI Number: | 1366757098 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CRC, CACD, M.S. |
License Number: | PC004450 |
Business Practice Address: | 524 Blind Ln Belle Vernon, PA - 150121280 |
Business Phone Number: | 7242433161 |
Business Fax Number: | 7242433161 |
Mailing Address: | 524 Blind Ln, BELLE VERNON |
State: | PA |
Postal Code: | 150121280 |
Phone Number: | 7242433161 |
Fax Number: | 7242433161 |
NPI Enumeration Date: | 08/18/2010 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PC004450 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |