Provider Demographics
NPI:1336449842
Name:DRUML, CLIFFORD LEE (SLP)
Entity Type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:LEE
Last Name:DRUML
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 CORAL REEF CT
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-7189
Mailing Address - Country:US
Mailing Address - Phone:252-772-5600
Mailing Address - Fax:
Practice Address - Street 1:804 US HIGHWAY 70 E STE 245
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-6521
Practice Address - Country:US
Practice Address - Phone:252-772-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-30
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9252235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist