IndividualActive
Elizabeth Rudolph, LLP
NPI 1710262233 · Clinical Psychologist · Walker, MI
Provider details
- NPI number
- 1710262233
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- LLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6301014357 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
318 River Ridge Dr Nw
Walker, MI 49544-1654
Phone: (616) 378-9260
Approximate (ZIP-level) locationGet directions
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Additional practice locations (1)
- 912 North Eaton Street1/2Albion, MI 49224Phone: (269) 248-1717Fax: (269) 248-1717
Registry dates
- Enumerated
- 2011-10-16
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.