Provider Demographics
NPI:1336169556
Name:RABIDOUX, PAULA CAROLE (PHD/CCC)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:CAROLE
Last Name:RABIDOUX
Suffix:
Gender:F
Credentials:PHD/CCC
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Other - First Name:
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Mailing Address - Street 1:1581 DODD DR
Mailing Address - Street 2:323 MCCAMPBELL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1257
Mailing Address - Country:US
Mailing Address - Phone:614-688-8472
Mailing Address - Fax:614-247-6073
Practice Address - Street 1:1581 DODD DR
Practice Address - Street 2:323 MCCAMPBELL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1257
Practice Address - Country:US
Practice Address - Phone:614-688-8472
Practice Address - Fax:614-247-6073
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHSP-2101235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist