Provider Demographics
NPI:1346473204
Name:LUDWIG, CONNIE HON NE YU
Entity type:Individual
Prefix:DR
First Name:CONNIE
Middle Name:HON NE YU
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 IRVING ST # 784
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2216
Mailing Address - Country:US
Mailing Address - Phone:415-326-8068
Mailing Address - Fax:
Practice Address - Street 1:1721 SCOTT ST STE D
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3035
Practice Address - Country:US
Practice Address - Phone:415-326-8068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY29653103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist