Trudel, Tina M

Trudel, Tina M is an individual health care provider with primary practice located at 1 Washington St Suite 443, Dover NH 03820-3848. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Trudel, Tina M can be contacted via phone (603) 493-4946.

Contact Information

Primary practice address
1 Washington St Suite 443 Dover NH 03820-3848
Phone: (603) 493-4946
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 882 New Hampshire

Profile Details

NPI number 1831248251
LBN Legal business name Trudel, Tina M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Oct 15th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831248251 NPPES
New Hampshire MEDICAID 30420725
New Hampshire Other 562384253
New Hampshire Other 2198542

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