Laura Dudley, M.S., SLP-CF
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Jenison, MI
NPI 1871969659 · NPPES record last updated Aug 17, 2015
Key facts
- NPI
- 1871969659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 7101004778 (MI)
- Practice address
- 7086 8TH Ave
Jenison, MI 49428-9352 - Phone
- (616) 667-9551
- NPI assigned
- Aug 17, 2015
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101004778 | MI | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 7101004778 | MI | Yes |
Addresses
Primary practice location
7086 8TH Ave
Jenison, MI 49428-9352
Mailing address
7086 8TH Ave
Jenison, MI 49428-9352
Other providers in Jenison, MI
- Dr Edward Schmitt and Dr Marie McKay
- Dr. Edward P Schmitt, PLLC
- Dr. Marie a McKay PLLC
- Kelly Drenth
- Jenna Marie Dubois
- Kathryn Marie Dudzinski
- Emily Morgan Dunham
- Eric J. Dykstra
- Brooke Nicole Emelander
- Eric R Hartman, DC, PLLC
All providers in Jenison, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.