Individual
MARY C RUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
110 PIONEER DR, ATHENS, GA 30605-4016
(540) 471-9510
Mailing address
110 PIONEER DR, ATHENS, GA 30605-4016
(540) 471-9510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2554
KS
Other
Enumeration date
02/28/2007
Last updated
09/02/2015
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