Provider Demographics
NPI:1588747927
Name:LUDWIG, CATHY ANN (EDS, LPC)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:ANN
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:EDS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413A LAKESIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07843-1621
Mailing Address - Country:US
Mailing Address - Phone:973-601-3979
Mailing Address - Fax:
Practice Address - Street 1:225 STATE ROUTE 10 E STE 201
Practice Address - Street 2:
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1300
Practice Address - Country:US
Practice Address - Phone:201-738-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00298900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP3204723OtherOXFORD PROVIDER NUMBER