Provider Demographics
NPI:1841406857
Name:HUDSON, TRINITY ANGELYN
Entity Type:Individual
Prefix:MRS
First Name:TRINITY
Middle Name:ANGELYN
Last Name:HUDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TRINITY
Other - Middle Name:
Other - Last Name:DIPASQUALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3457
Mailing Address - Street 2:
Mailing Address - City:CAREFREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85377
Mailing Address - Country:US
Mailing Address - Phone:480-595-2184
Mailing Address - Fax:480-595-0212
Practice Address - Street 1:17220 N BOSWELL BLVD
Practice Address - Street 2:STE L200
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85373
Practice Address - Country:US
Practice Address - Phone:623-977-4911
Practice Address - Fax:623-977-4919
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist