| Doctor Name: | DR. JENNIFER LUDROSKY |
| NPI Number: | 1275659443 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PS016126 |
| Business Practice Address: | 236 Elm Dr Waynesburg, PA - 153708265 |
| Business Phone Number: | 7246270926 |
| Business Fax Number: | 7246270812 |
| Mailing Address: | 236 Elm Dr, Suite 101 WAYNESBURG |
| State: | PA |
| Postal Code: | 153708265 |
| Phone Number: | 3048524032 |
| Fax Number: | 3046270812 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 02/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS016126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |