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Contact Information

MARYELLEN RUDOLPH, LSLP
8 SCHOOL ROAD
GUILDERLAND CENTER, NY12085
 Phone: 518-861-8591
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MARYELLEN RUDOLPH · (Female)

NPI # 1356611651
Status Active
Credentials LSLP
Entity Individual
Enumeration date 01/04/2012
Last updated 01/04/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 001906
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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