Doctor Name: | DR. MICHAEL EDWARD LUDWIG |
NPI Number: | 1437391034 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD, LPC, NCC |
License Number: | PC004683 |
Business Practice Address: | 3275 Cape Horn Rd Red Lion, PA - 173569074 |
Business Phone Number: | 7174176932 |
Business Fax Number: | 7174176932 |
Mailing Address: | 3275 Cape Horn Rd, RED LION |
State: | PA |
Postal Code: | 173569074 |
Phone Number: | 7174176932 |
Fax Number: | 7174176932 |
NPI Enumeration Date: | 03/27/2009 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC004683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |