National Provider Identifier

Paul Wesley Rhudy, LCSW

Paul Wesley Rhudy, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Trumansburg, NY and a listed phone number of (607) 387-7551.

NPI 1962000224Trumansburg, NYClinical Social Worker

Profile Overview

NPI
1962000224
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 09, 2020
Last Updated
October 09, 2020

Practice Location

  • 100 Whig St
  • Trumansburg, NY 14886-9152

Phone: (607) 387-7551

Mailing Address

  • 2 Eagleshead RD
  • Ithaca, NY 14850-9659

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1962000224
Entity Type
Individual
Last Name
Rhudy
First Name
Paul
Middle Name
Wesley
Credential
LCSW
Mailing Street Address
2 Eagleshead RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9659
Mailing Country
US
Mailing Phone
(607) 592-6607
Practice Street Address
100 Whig St
Practice City
Trumansburg
Practice State
NY
Practice ZIP Code
14886-9152
Practice Country
US
Practice Phone
(607) 387-7551
Enumeration Date
October 09, 2020
Last Updated
October 09, 2020
Sex
Male
Sole Proprietor
No
Certification Date
October 09, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)