Individual
DR. TINA M TRUDEL
Active
Individual
DR. TINA M TRUDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
882
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2198542
CIGNA BEHAVIORAL HEALTH
NH
05
—
30420725
—
NH
01
—
562384253
ANTHEM
NH
Enumeration date
01/09/2007
Last updated
10/15/2014
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