Provider Demographics
NPI:1104586312
Name:LUDWIG J ASZOD PA
Entity type:Organization
Organization Name:LUDWIG J ASZOD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUDWIG
Authorized Official - Middle Name:J
Authorized Official - Last Name:ASZOD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:479-774-2131
Mailing Address - Street 1:3012 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72830-8007
Mailing Address - Country:US
Mailing Address - Phone:479-774-2131
Mailing Address - Fax:
Practice Address - Street 1:910 S ROGERS ST
Practice Address - Street 2:STE C
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-4331
Practice Address - Country:US
Practice Address - Phone:479-335-5747
Practice Address - Fax:479-957-9083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty