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Contact Information

RUDY NYDEGGER PHD, ABPP, PLLC
2317 BALLTOWN RD.
SUITE 203
SCHENECTADY, NY12309
 Phone: 518-377-4398
 Fax: 518-384-3475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RUDY NYDEGGER PHD ABPP PLLC · (Female)

NPI # 1255680344
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2012
Last updated 07/29/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 5721
  • NY Medicaid 03537919
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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