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DR. TINA M TRUDEL PHD

Clinical Neuropsychologist

Dover, New Hampshire

Provider NPI: 1831248251

Provider Information:
DR. TINA M TRUDEL PHD
Gender: F
Not Sole Proprietor

Practice Location:
1 WASHINGTON ST SUITE 443 DOVER, NH 03820 US
Tel: 603-493-4946  Fax: --

Business Mailing Address:
1 WASHINGTON ST SUITE 443 DOVER, NH 03820 US
Tel: 603-493-4946  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NH882

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM562384253NH01
CIGNA BEHAVIORAL HEALTH2198542NH01
30420725NH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NH - Page 1



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