Doctor Name: | STACIE L DUDA |
NPI Number: | 1891052155 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CFY-SLP |
License Number: | 2202006602 |
Business Practice Address: | 655 Denbigh Blvd Newport News, VA - 236084478 |
Business Phone Number: | 7578900905 |
Business Fax Number: | |
Mailing Address: | 24 Blue Hills Dr, SAUGERTIES |
State: | NY |
Postal Code: | 124772221 |
Phone Number: | 8452063003 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2012 |
NPI Last Update Date: | 04/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |