Provider Demographics
NPI:1245405760
Name:DULUDE, ROSE EILONWY (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:EILONWY
Last Name:DULUDE
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4610
Mailing Address - Country:US
Mailing Address - Phone:914-843-9994
Mailing Address - Fax:
Practice Address - Street 1:1748 HANOVER ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4610
Practice Address - Country:US
Practice Address - Phone:914-843-9994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001697-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist