Doctor Name: | DR. ANN LADD |
NPI Number: | 1316080112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LCSW |
License Number: | 3270 |
Business Practice Address: | 279 S Joe Martinez Blvd Pueblo West, CO - 810075439 |
Business Phone Number: | 7192514006 |
Business Fax Number: | |
Mailing Address: | 257 S Mangrum Pl, Po Box 7164 PUEBLO WEST |
State: | CO |
Postal Code: | 810073636 |
Phone Number: | 7196471746 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3270 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |