Carol Bruno Rude

Individual provider Active NPI Speech-Language Pathologist · Rose Valley, PA

NPI 1306285044 · NPPES record last updated Jun 16, 2013

Key facts

NPI
1306285044
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL005903L (PA)
Practice address
121 Traymore LN
Rose Valley, PA 19063-5958
Phone
(484) 343-6919
NPI assigned
Jun 16, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SL005903LPAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL005903L PA Yes

Addresses

Primary practice location

121 Traymore LN
Rose Valley, PA 19063-5958

Mailing address

121 Traymore LN
Rose Valley, PA 19063-5958
Phone (484) 343-6919

Other names

  • Carol Jane Bruno Former name

Other providers in Rose Valley, PA

All providers in Rose Valley, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.