Doctor Name: | MRS. DEBRA LEVICK RUDEL |
NPI Number: | 1093966152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCCSLP |
License Number: | SL007244 |
Business Practice Address: | 550 S Negley Ave Pittsburgh, PA - 152321658 |
Business Phone Number: | 4126652400 |
Business Fax Number: | |
Mailing Address: | 104 Regal Ct, MONROEVILLE |
State: | PA |
Postal Code: | 151464717 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 10/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL007244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |