Provider Demographics
NPI:1043588098
Name:FRANCIN, RUDOLPH THOMAS (PHD)
Entity type:Individual
Prefix:
First Name:RUDOLPH
Middle Name:THOMAS
Last Name:FRANCIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6525 MINK HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20777-9761
Mailing Address - Country:US
Mailing Address - Phone:443-535-1428
Mailing Address - Fax:
Practice Address - Street 1:6525 MINK HOLLOW RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MD
Practice Address - Zip Code:20777-9761
Practice Address - Country:US
Practice Address - Phone:443-535-1428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06917103TC0700X
AL1887103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical