Doctor Name: | DR. KAREN RUTH LADANYE |
NPI Number: | 1003013574 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 264 |
Business Practice Address: | 125 Bank St Suite 310 Missoula, MT - 598024407 |
Business Phone Number: | 4065497325 |
Business Fax Number: | 4065497559 |
Mailing Address: | 125 Bank St, Suite 310 MISSOULA |
State: | MT |
Postal Code: | 598024407 |
Phone Number: | 4065497325 |
Fax Number: | 4065497559 |
NPI Enumeration Date: | 06/28/2007 |
NPI Last Update Date: | 01/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |