Provider Demographics
NPI:1992209738
Name:SHRIER, RUDY (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:RUDY
Middle Name:
Last Name:SHRIER
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 FAIRWAY DR STE 250
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3700
Mailing Address - Country:US
Mailing Address - Phone:561-622-1771
Mailing Address - Fax:
Practice Address - Street 1:7108 FAIRWAY DR STE 250
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3700
Practice Address - Country:US
Practice Address - Phone:561-622-1771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15399101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health