DUSTIN SHANE TUDOR MA - NPI 1265688196 - Counselor in Du Bois, PA

Q: What is Dustin Tudor's NPI number?

The NPI number for Dustin Tudor is 1265688196. It was assigned to this individual provider in the NPPES registry on August 12, 2008.

Q: What is Dustin Tudor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Tudor was last updated on August 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dustin Shane Tudor Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTIN SHANE TUDOR MA (NPI 1265688196) is an individual mental health provider in Du Bois, Pennsylvania and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1265688196

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameDUSTIN SHANE TUDORCredential: MA

Location Address100 CALDWELL DRDu Bois, PA 15801-1152

Mailing Address793 Old Route 119 Hwy NIndiana, PA 15701-1372 · (724) 465-5576 · Fax (724) 465-6379

Phone(814) 371-1100

Fax(814) 375-0120

Sole ProprietorNo

Enumeration DateAugust 12, 2008

✔ NPI 1265688196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

100 CALDWELL DR, Du Bois, PA 15801

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELAINE M. BOAL B. A.

Counselor (Mental Health)