| Doctor Name: | MR. DAVID L. RUDLER |
| NPI Number: | 1528052743 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.I.S.W. |
| License Number: | I-0009314 |
| Business Practice Address: | 852 Grove St Conneaut, OH - 440301658 |
| Business Phone Number: | 4405999074 |
| Business Fax Number: | 4405999074 |
| Mailing Address: | 852 Grove St, CONNEAUT |
| State: | OH |
| Postal Code: | 440301658 |
| Phone Number: | 4405999074 |
| Fax Number: | 4405999074 |
| NPI Enumeration Date: | 09/02/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I-0009314 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |