Doctor Name: | DR. MICHAEL DAVID TRUDEAU |
NPI Number: | 1487886206 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | SP2200 |
Business Practice Address: | 565 Metro Pl S James Voice And Swallowing Disorders Clinic Suite 400 Dublin, OH - 430175351 |
Business Phone Number: | 6142930363 |
Business Fax Number: | 6143665808 |
Mailing Address: | 565 Metro Pl S, James Voice And Swallowing Disorders Clinic Suite 400 DUBLIN |
State: | OH |
Postal Code: | 430175351 |
Phone Number: | 6142930363 |
Fax Number: | 6143665808 |
NPI Enumeration Date: | 08/12/2009 |
NPI Last Update Date: | 08/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP2200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |