Doctor Name: | LARA WALDENMAIER |
NPI Number: | 1396108445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | E.0008228 |
Business Practice Address: | 221 E 320th St Willowick, OH - 440953539 |
Business Phone Number: | 4407424656 |
Business Fax Number: | 4407925081 |
Mailing Address: | 221 E 320th St, WILLOWICK |
State: | OH |
Postal Code: | 440953539 |
Phone Number: | 4407424656 |
Fax Number: | 4407925081 |
NPI Enumeration Date: | 04/05/2016 |
NPI Last Update Date: | 04/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E.0008228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |