Doctor Name: | MS. WENDY LUDWIG |
NPI Number: | 1053410829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, CAAC |
License Number: | 6401009970 |
Business Practice Address: | 677a East Main Centreville, MI - 49032 |
Business Phone Number: | 2694671000 |
Business Fax Number: | |
Mailing Address: | 677a East Main, CENTREVILLE |
State: | MI |
Postal Code: | 49032 |
Phone Number: | 2694671000 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 09/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6401009970 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |