Individual
BRIDGET DRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
542 BOULEVARD AVE, DICKSON CITY, PA 18519-1750
(570) 489-5010
(570) 489-5060
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(570) 842-9362
(570) 842-9362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012256
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL012256
DEPARTMENT OF STATE
PA
Enumeration date
03/25/2020
Last updated
11/03/2021
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