| Doctor Name: | REBECCA ANNE RUDKO |
| NPI Number: | 1487679114 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. |
| License Number: | 5052 |
| Business Practice Address: | 89 Main St Suite 201 Medway, MA - 020531828 |
| Business Phone Number: | 5085333777 |
| Business Fax Number: | 5083463069 |
| Mailing Address: | 18 Charles Dr, FRANKLIN |
| State: | MA |
| Postal Code: | 020381016 |
| Phone Number: | 5085417995 |
| Fax Number: | 5083463069 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 5052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |