Individual
KENNETH P DRUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1130 VESTER AVE, SUITE C, SPRINGFIELD, OH 45503-7302
(937) 390-3800
(937) 390-3804
Mailing address
1130 VESTER AVE, SUITE C, SPRINGFIELD, OH 45503-7302
(937) 390-3800
(937) 390-3804
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254577
—
OH
Enumeration date
10/10/2006
Last updated
10/25/2007
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