Organization
ROBERT M TRUDEL SCD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL TRUDEL (PRESIDENT)
(978) 537-4920
Entity
Organization
Contact information
Practice address
14 STAGECOACH RD, LEOMINSTER, MA 01453-3472
(978) 537-4920
Mailing address
14 STAGECOACH RD, LEOMINSTER, MA 01453-3472
(978) 537-4920
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
2277
MA
251S00000X
Community/Behavioral Health Agency
2277
MA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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