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MRS. LIZA RAQUEL RUDOLPH PH.D.
NPI 1003863382
Psychologist - Clinical in West Lafayette, IN

Active since May 30, 2006
255 E SUNSET LN, WEST LAFAYETTE, IN 47906(765) 532-9084(765) 447-9659 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Liza Raquel Rudolph Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LIZA RAQUEL RUDOLPH PH.D. (NPI 1003863382) is an individual clinical provider in West Lafayette, Indiana, licensed in Indiana (200251030) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1003863382
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMRS. LIZA RAQUEL RUDOLPHCredential: PH.D.
Location Address255 E SUNSET LNWest Lafayette, IN 47906-2456
Mailing AddressPo Box 3884West Lafayette, IN 47996-3884 · (765) 532-9084 · Fax (765) 447-9659
Phone(765) 532-9084
Fax(765) 447-9659
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateMay 5, 2016
✔ NPI 1003863382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IN · 200251030
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
255 E SUNSET LN, West Lafayette, IN 47906
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Other Names 1

Professional Name (2)Mrs. Liza Raquel Simental Ph.d.

Other Identifiers 6

Medicare UPINS89659IN
Medicare PIN233290AIN
Other000000378693IN · Blue Cross/blue Shield
Other284435000IN · Magellan
Medicaid200251030BIN
Other251277IN · Value Options

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIZA R SIMENTAL, PHD HSPP PC
Psychologist (Clinical)
255 E SUNSET LN
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 532-9084
DR. THOMAS BRUCE MCHENRY PH.D.
Psychologist (Counseling)
255 E SUNSET LN
WEST LAFAYETTE BRA, IN 47906
Tippecanoe County (765) 404-6583
THOMAS B. MCHENRY PC
Psychologist (Counseling)
255 E SUNSET LN
WEST LAFAYETTE BRA, IN 47906
Tippecanoe County (765) 404-6583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liza Rudolph's NPI number?

The NPI number for Liza Rudolph is 1003863382. It was assigned to this individual provider in the NPPES registry on May 30, 2006. The provider is also known as Mrs. Liza Raquel Simental Ph.D..

Where is Liza Rudolph located?

Liza Rudolph practices at 255 E Sunset Ln, West Lafayette, IN 47906. The listed phone number is (765) 532-9084.

What is Liza Rudolph's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Liza Rudolph was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.