Provider Demographics
NPI:1598861023
Name:DUDDING, CAROL (PH D)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:DUDDING
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 142
Mailing Address - Street 2:
Mailing Address - City:QUINQUE
Mailing Address - State:VA
Mailing Address - Zip Code:22965-0142
Mailing Address - Country:US
Mailing Address - Phone:434-985-4052
Mailing Address - Fax:
Practice Address - Street 1:LONGWOOD CENTER FOR COMMUNICATION LITERACY AND LEARNI
Practice Address - Street 2:MAIN ST
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23909-0001
Practice Address - Country:US
Practice Address - Phone:434-395-2341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA22020011443235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist