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

Mrs. Mary Rudolph

Individual provider Mental Health Counselor · NPI 1174910855

Mrs. Mary Rudolph is a Mental Health Counselor in Erie, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

4190 E Lake Rd
Erie, PA 16511
Phone: (814) 616-2858
Fax: (814) 616-2860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CW019986

Record details

NPI number1174910855
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2015
Last updated in NPPESFebruary 18, 2019

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