Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Liza Raquel Rudolph, PHD

Individual provider Clinical Psychologist · NPI 1003863382

Mrs. Liza Raquel Rudolph, PHD is a Clinical Psychologist in West Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

255 E Sunset Ln
West Lafayette, IN 47906-2456
Phone: (765) 532-9084
Fax: (765) 447-9659
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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 200251030 (IN)

Record details

NPI number1003863382
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESMay 5, 2016

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