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NPI Code Detail

MEDICARE: MARCELLA RUDICK

MEDICARE:   MARCELLA  RUDICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1114880465
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCELLA RUDICK
Provider Business Mailing Address
First Line : 207 S WESTGATE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-1980
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 207 S WESTGATE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-1980
Country : US
Telephone Number : 304-629-4546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ MARCELLA RUDICK ” Practice Location

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