Doctor Name: | DR. LAURA ELLEN LADUE |
NPI Number: | 1003817289 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT, LMHP |
License Number: | 169 |
Business Practice Address: | 1543 N Cotner Blvd Lincoln, NE - 685051627 |
Business Phone Number: | 4024295883 |
Business Fax Number: | 4028174319 |
Mailing Address: | 1543 N Cotner Blvd, LINCOLN |
State: | NE |
Postal Code: | 685051627 |
Phone Number: | 4024295883 |
Fax Number: | 4028174319 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 09/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 169 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |