Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Terry Lee Rudolph, PHD

Individual provider Psychologist · NPI 1154320489

Dr. Terry Lee Rudolph, PHD is a Psychologist in Roseville, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

25779 Kelly Rd
Roseville, MI 48066-4973
Phone: (586) 774-7987
Fax: (586) 774-7263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 003357 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301003357 (MI)

Record details

NPI number1154320489
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESMarch 8, 2011

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