Doctor Name: | JOY RUDDER-WELLS |
NPI Number: | 1174958722 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P. |
License Number: | 6637 |
Business Practice Address: | 422 Clearbrook Dr Wilmington, NC - 284095918 |
Business Phone Number: | 9104317092 |
Business Fax Number: | 9102568560 |
Mailing Address: | 422 Clearbrook Dr, WILMINGTON |
State: | NC |
Postal Code: | 284095918 |
Phone Number: | 9104317092 |
Fax Number: | 9102568560 |
NPI Enumeration Date: | 09/13/2013 |
NPI Last Update Date: | 09/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |