Provider Demographics
NPI:1124111281
Name:LADDAGA, BARBARA (LMHC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:LADDAGA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 REED RD
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-1246
Mailing Address - Country:US
Mailing Address - Phone:978-337-4694
Mailing Address - Fax:
Practice Address - Street 1:2 NARROWS RD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01473-1676
Practice Address - Country:US
Practice Address - Phone:978-337-4694
Practice Address - Fax:978-433-1903
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4075101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health