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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831248251 | NPPES |
| New Hampshire | MEDICAID | 30420725 | |
| New Hampshire | Other | 562384253 | |
| New Hampshire | Other | 2198542 |
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