MRS. MARY RUDOLPH


Address: 4190 E Lake Rd, Erie, PA 16511
Phone: 8146162858

MRS. MARY RUDOLPH (NPI# 1174910855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174910855
Entity Type Individual
Full Name MRS. MARY RUDOLPH
Practice Address 4190 E Lake Rd
Erie
PA 16511
Mailing Address 4190 E Lake Rd
Erie
PA 16511-1355
Practice Telephone 8146162858
Practice Fax Number 8146162860
Mailing Telephone 8146162858
Mailing Fax Number 8146162860
Enumeration Date 2015-04-21
Last Update Date 2019-02-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
CW019986 Behavioral Health & Social Service Providers

Other Providers MARY RUDOLPH

NPI Name Taxonomy Address Enumeration
1588628218 Mary M Rudolph Nurse Practitioner 321 Middlefield Rd, Menlo Park, CA 94025-3500 2006-04-12

Office Location

Street Address 4190 E LAKE RD
City ERIE
State PA
Zip Code 16511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770546376 Steven Daniel Krauza Chiropractor 4190 E Lake Rd, Erie, PA 16511-1355 2006-04-07
1205309531 Mindbodysoulworks, LLC Clinic/Center 4190 E Lake Rd, Erie, PA 16511-1355 2019-01-09
1962570176 Krauza Family Chiropractic, Inc Chiropractor 4190 E Lake Rd, Erie, PA 16511-1355 2006-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467701359 Debbie Marie Marche Licensed Practical Nurse 852 Newton Ave, Erie, PA 16511 2012-09-06
1164781456 Kevin D. Deuel Licensed Practical Nurse 755 Napier Ave.., Erie, PA 16511 2012-05-08
1104827617 William Rudolph Phelps Surgery 101 Walten Point, Erie, PA 16511 2005-08-09
1700884632 Jennifer Amy Kilgas Physical Therapist Trac Rehab East, 4403 Iroguois Ave, Erie, PA 16511 2005-07-13
1891794699 David Jon Markiewicz Physical Therapist Trac Rehab East, 4403 Iroquois Ave, Erie, PA 16511 2005-07-14
1699773523 Karen Ann Zielinski Physical Therapist Trac Rehab East, 4403 Iroquois Ave, Erie, PA 16511 2005-07-13
1326151432 East Lake Pharmacy Inc Pharmacy 1896 E Lake Rd, Erie, PA 16511-1072 2006-08-16
1497030142 Barbara Anne Thompson Registered Nurse 402 Euclid Ave, Erie, PA 16511-1126 2011-10-13
1669821518 Christopher Sedgwick Pharmacist 2684 Lakeside Dr, Erie, PA 16511-1252 2016-06-10
1831423136 Keith Eller Counselor 212 Lowry Rd, Erie, PA 16511-1327 2009-09-21
Find all providers in zip 16511

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235747593 White Pine Center for Healing Counselor 1116 W 7th St, Erie, PA 16502-1104 2020-07-22
1326603481 William Mark Powell Counselor 1584 Westin Dr, Erie, CO 80516-7247 2019-05-04
1447766365 Kimberley Ann Coughlin Counselor 1611 Peach St Ste 185, Erie, PA 16501-2125 2017-12-15
1265950513 All About You Counseling Counselor 1131 W 38th St, Erie, PA 16508-2457 2017-09-07
1245756949 Ashley Fedor,lpc, LLC Counselor 1946 W 26th St Ste 19b, Erie, PA 16508-1165 2017-08-15
1497203848 Mindy Ghaemaghamy-harris Counselor 2221b Peninsula Dr, Erie, PA 16506-2954 2016-09-14
1427423169 Brianne Slaney Counselor 17 Merline Ave Ste 3, Erie, PA 16509-1567 2015-12-07
1457742736 Christine Ngozika Crowell Counselor 3530 Peach St Ste 120, Erie, PA 16508-2768 2015-02-09
1295145795 Mark A Borland Counselor 1738 W 8th St, Erie, PA 16505-5024 2014-05-06
1093133399 Chelsea Curlett Counselor 1705 W 26th St, Erie, PA 16508-1233 2014-04-03
Find all providers in ERIE

Competitor

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City ERIE
Zip Code 16511

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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