BROOKE J TRUEBLOOD


Address: 1160 Joliet St Ste 102, Dyer, IN 46311-3087
Phone: (219) 440-7930

BROOKE J TRUEBLOOD (NPI# 1396275137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396275137
Entity Type Individual
Full Name BROOKE J TRUEBLOOD
Credential SLP-A
Practice Address 1160 Joliet St Ste 102
Dyer
IN 46311-3087
Practice Telephone (219) 440-7930
Practice Fax Number 2194407931
Mailing Telephone 2194407930
Mailing Fax Number 2194407931
Enumeration Date 2017-06-14
Last Update Date 2017-06-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
29001725A IN Speech, Language and Hearing Service Providers

Office Location

Street Address 1160 JOLIET ST STE 102
City DYER
State IN
Zip Code 46311-3087

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255809950 Mary Sohl Occupational Therapist 1160 Joliet St Ste 102, Dyer, IN 46311-3087 2018-11-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407338858 Leena Yousef-diaz Nurse Practitioner 1100 Joliet Street Suite #201, Dyer, IN 46311 2018-09-02
1518476639 Kor Speech Therapy, LLC Speech-Language Pathologist 219 Primrose Dr., Dyer, IN 46311 2017-09-20
1861921207 Derrick Durrah Counselor 2615 James Drive, Dyer, IN 46311 2017-06-08
1073962189 Maria Lule Pharmacist 805 Joliet Road, Dyer, IN 46311 2016-06-09
1780072157 Mario Munoz Skilled Nursing Facility 515 Audrey Ct, Dyer, IN 46311 2015-01-07
1457772451 Lisa Jennifer Mickelson Registered Nurse 600 Joliet St., Kahler Middle School, Dyer, IN 46311 2013-12-18
1285055285 Tanya D Burk-willson Registered Nurse 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 2013-12-18
1013338011 Mary Beth Rinaldi Registered Nurse 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 2013-12-18
1023448057 Franciscan Alliance General Acute Care Hospital 24 Joliet Street, 3da, Dyer, IN 46311 2013-11-12
1508078239 Fatima Jaffer Md Sc PC Internal Medicine Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 2007-05-04
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801351259 Alicia Iles Specialist/Technologist 1514 Clifton Ave, Logansport, IN 46947-1420 2019-02-08
1306310420 Kristin Meredith O'neal Specialist/Technologist 6998 S County Road 580 E, Kirklin, IN 46050-8802 2019-01-12
1417324500 Diane Lehr Specialist/Technologist 169 Cimarron Dr, Valparaiso, IN 46385-7307 2015-08-25
1730404534 Grace J Mckinley Specialist/Technologist 3313 Bunting Ln, Lafayette, IN 47909-6828 2010-04-05
1285620278 Aaron Blaine Winchester Specialist/Technologist 8976 Crystal Lake Dr, Indianapolis, IN 46240-6413 2005-09-23
1114545910 Tabitha Leigh Ford Specialist/Technologist 1329 Applegate Ln, Clarksville, IN 47129-9612 2020-07-08
1578187423 Candy Adriana Capilla Specialist/Technologist 216 N 5th St, Lafayette, IN 47901-2811 2020-06-05
1912543554 Angela Gusakoska Specialist/Technologist 2906 Highway Ave, Highland, IN 46322-1631 2019-11-19
1295387090 Stephanie Rene Hare-chinn Specialist/Technologist 6100 Miller Ave, Gary, IN 46403-2469 2019-07-11
1861966004 Lindsey Marie Secoy Specialist/Technologist 4900 Shamrock Dr Ste 100-102, Evansville, IN 47715-7325 2019-01-21
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Competitor

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City DYER
Zip Code 46311

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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