Rudolph, Maxi Alexis

Rudolph, Maxi Alexis is an individual health care provider with primary practice located at 1777 Sentry Pkwy W Ste 300 , Blue Bell PA 19422-2211. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rudolph, Maxi Alexis can be contacted via phone (215) 767-7096.

Contact Information

Primary practice address
1777 Sentry Pkwy W Ste 300 Blue Bell PA 19422-2211
Phone: (215) 767-7096
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Pennsylvania
Behavioral Health & Social Service Providers / Counselor 101Y00000X Pennsylvania

Profile Details

NPI number 1164952982
LBN Legal business name Rudolph, Maxi Alexis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Apr 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164952982 NPPES
Pennsylvania Other 101YP2500X COUNSELOR PROFESSIONAL

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