Lia Rudnick, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M16588 Issued in CA

Practice address

264 W Baltimore Ave
Larkspur, CA 94939-2126

Phone

(415) 924-2678

Fax

(415) 924-8786

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538364443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 TAMAL VISTA BLVD",
            "address_2": "SUITE 270",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251132",
            "telephone_number": "415-924-8786",
            "fax_number": "415-924-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 W BALTIMORE AVE",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949392126",
            "telephone_number": "415-924-2678",
            "fax_number": "415-924-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "LIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "M16588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Rose, DC CHIROPRACTOR
• Ross Valley Paramedic Authority
• Johannes Petrus Roux, PHD LMFT
• Elizabeth Gayle Rubel, PHD
• Sarah Marie Rubin, PA-C
• Jay R Salzman
• Mario Santi, PHARMD
• Stephen Albert Santucci Jr., M.D.
• Amir Ali Sarkeshik, D.O., M.S.
• Angela Marie Savelli, PT

• Marriage & Family Therapist in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.