Doctor Name: | LINDSEY KRISTINE LUEDTKE |
NPI Number: | 1740577410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 0810004416 |
Business Practice Address: | 7427 Brock Road Spotsylvania, VA - 225531764 |
Business Phone Number: | 5405823980 |
Business Fax Number: | 5405826825 |
Mailing Address: | 7424 Brock Rd, Po Box 277 SPOTSYLVANIA |
State: | VA |
Postal Code: | 225532002 |
Phone Number: | 5405823980 |
Fax Number: | 5405826825 |
NPI Enumeration Date: | 07/01/2011 |
NPI Last Update Date: | 07/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810004416 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |