Doctor Name: | LISA LUDOVICI |
NPI Number: | 1033523683 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 101Y00000X |
Business Practice Address: | 303 W 74th St Suite 2f New York, NY - 100231628 |
Business Phone Number: | 6464026311 |
Business Fax Number: | |
Mailing Address: | 303 W 74th St, Suite 2f NEW YORK |
State: | NY |
Postal Code: | 100231628 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/11/2014 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 101Y00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |