DEBORAH TRUDELL MA NPI 1780079053

NPI Information

NPI: 1780079053
Provider Name: DEBORAH TRUDELL, MA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
508 N TRUMAN BLVD STE J
CRYSTAL CITY, MO
ZIP 63019
Phone: (636) 232-8328
Get Directions

Deborah Trudell, MA is a professional counselor in Crystal City, MO with 16 years of experience. Deborah Trudell, MA NPI is 1780079053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

508 N TRUMAN BLVD STE J
CRYSTAL CITY, MO
ZIP 63019-344
Phone: (636) 232-8328
Fax: (888) 388-2740

The NPI 1780079053 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/2/2015 and was last updated on 1/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	TPMC2079	FLORIDA	No
2	101YP2500X	Counselor	Professional	2012040482	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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