Dustin Shane Tudor in Du Bois - Mental Health

Dustin Shane Tudor - NPI 1265688196

Dustin Shane Tudor is a Mental Health in Du Bois, Pennsylvania. Dustin Shane Tudor practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Dustin Shane Tudor is 1265688196. The last update date is 2008-08-12.

Dustin Shane Tudor's current location address is 100 Caldwell Dr, Du Bois, Pennsylvania. You can contact this provider via phone number 8143711100 and fax number 8143750120. The mailing address for Dustin Shane Tudor is 100 Caldwell Dr, Du Bois, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Dustin Shane Tudor
Address 100 Caldwell Dr, Du Bois, Pennsylvania
Phone Number 8143711100
Fax Number 8143750120
Sole Proprietor N
Credentials MA

NPI Number Detail

NPI Number 1265688196
Provider Enumeration Date 2008-08-12
Last Updated Date 2008-08-12

Provider Mailing Address Detail

Address 100 Caldwell Dr
City Du Bois
State Pennsylvania (PA)
Post Code 158011152
Phone Number 8143711100
Fax Number 8143750120

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Dustin Shane Tudor

What is the unique provider identifier assigned to Dustin Shane Tudor?

The Dustin Shane Tudor has been issued the NPI (National Provider Identifier) 1265688196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Dustin Shane Tudor is physically located?

The Dustin Shane Tudor is situated at the following address: 100 Caldwell Dr, Du Bois, PA 158011152.

What is Dustin Shane Tudor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dustin Shane Tudor's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.

When was the Dustin Shane Tudor's 1265688196 issued?

The Dustin Shane Tudor's 1265688196 was issued on 2008-08-12.

When was the information regarding Dustin Shane Tudor most recently updated?

The details pertaining to the Dustin Shane Tudor, including its address, specialty, and other relevant information, were last refreshed on 2008-08-12.

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