Dr. Terry Lee Rudolph is a Roseville, Michigan based psychologist who is specialized in General Psychology. Active license number of Dr. Terry Lee Rudolph is 003357 for Clinical Psychology in Michigan. His current practice location is 25779 Kelly Road, Roseville. Patients can reach him at 586-774-7987 or can fax him at 586-774-7263. Dr. Terry Lee Rudolph is PH.D in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1154320489.
Dr. Terry Lee Rudolph is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Terry Lee Rudolph speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Terry Lee Rudolph |
| Specialization: | General Psychology |
| Gender: | Male |
| Credentials: | PH.D |
| Practice Address: | 25779 Kelly Road, Roseville,
Michigan, 48066-4973 |
| Phone: | 586-774-7987 |
| Fax: | 586-774-7263 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1154320489 |
| NPI Enumeration Date: | 19 Jul, 2005 |
| NPI Last Update On: | 08 Mar, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Terry Lee Rudolph are as mentioned below.
| License Number | Specialization | State | Status | |
| 003357 | Clinical Psychology | Michigan | Primary | |
| 6301003357 | General Psychology | Michigan | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Terry Lee Rudolph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 68-0-E0-4564-0 | Other | Michigan | BLUE CROSS/BLUE SHIELD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Terry Lee Rudolph
25779 Kelly Road,
Roseville, Michigan |
| Zip: | 48066-4973 |
| Phone Number: | 586-774-7987 |
| Fax Number: | 586-774-7263 |
Patients can reach Dr. Terry Lee Rudolph at
25779 Kelly Road, Roseville, Michigan or can
call to book an appointment on 586-774-7987.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.