Susan R. Rudnicki, Ph.D., P.C.
Psychologist, Clinical in Woodstock, GA. Organization (NPI-2).
NPI number1386761237
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1386761237
- Entity type
- Organization (NPI-2)
- Legal business name
- Susan R. Rudnicki, Ph.D., P.C.
- Organization subpart
- No
- Enumeration date
- Mar 24, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 2723 | GA | Yes |
Practice location
8910 Main StWoodstock, GA 30188-4916
Phone 770-924-1818 · Fax 770-928-5731
Mailing address
8910 Main StWoodstock, GA 30188-4916
Phone 770-924-1818 · Fax 770-928-5731
Authorized official
Susan Rudnicki
Psychologist
7709241818
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