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NPI Code Detail

MEDICARE: MISS ASHLEY RUDD

MEDICARE:  MISS ASHLEY  RUDD
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 Pathologist0706WV

General Provider Information

NPI Number : 1982133898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ASHLEY RUDD
Provider Business Mailing Address
First Line : 400 FAIRVIEW HEIGHTS RD
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9308
Country : US
Telephone Number : 304-872-8629
Fax Number : 304-872-8423
Provider Business Practice Location Address
First Line : 400 FAIRVIEW HEIGHTS RD
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9308
Country : US
Telephone Number : 304-872-8629
Fax Number : 304-872-8423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2017
Last Update Date : 03/09/2026

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Directions to “ MISS ASHLEY RUDD ” Practice Location

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