DR. TERRY LEE RUDOLPH (PH.D) – Clinical Psychologist, NPI 1154320489

DR. TERRY LEE RUDOLPH (PH.D) is a healthcare provider. based in Roseville, Michigan. specializing in Clinical Psychologist. They hold the professional credentials PH.D. They hold a License No. 6301003357 (MI). The NPI Number for DR. TERRY LEE RUDOLPH (PH.D) is 1154320489

Main info

Male
Name
DR. TERRY LEE RUDOLPH (PH.D)
NPI
1154320489
Phone
(586) 774-7987
Address
25779 KELLY ROAD
Enumeration Date
19 July 2005
Last Update Date
8 March 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. TERRY LEE RUDOLPH (PH.D)

  • 25779, Kelly Road, Roseville, Macomb County, Michigan, 48066, United States

    ROSEVILLE, MI 480664973

    Phone: (586) 774-7987

    Fax: (586) 774-7263

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48066)

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Frequently asked questions

Is there an official ID for DR. TERRY LEE RUDOLPH (PH.D) in U.S. healthcare records?
The official identifier for DR. TERRY LEE RUDOLPH (PH.D) is NPI 1154320489.
Active or inactive — what applies to DR. TERRY LEE RUDOLPH (PH.D)?
You should see DR. TERRY LEE RUDOLPH (PH.D) as active in CMS-hosted NPPES data.
What area of care is associated with DR. TERRY LEE RUDOLPH (PH.D)?
DR. TERRY LEE RUDOLPH (PH.D)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. TERRY LEE RUDOLPH (PH.D)?
Directory geography for DR. TERRY LEE RUDOLPH (PH.D) centers on Roseville, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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