Provider Demographics
NPI:1992499198
Name:SUNDHEIMER, LAIKEN LYNN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LAIKEN
Middle Name:LYNN
Last Name:SUNDHEIMER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4368 DRESSLER RD NW STE 103
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2776
Mailing Address - Country:US
Mailing Address - Phone:330-433-1300
Mailing Address - Fax:
Practice Address - Street 1:4368 DRESSLER RD NW STE 103
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2776
Practice Address - Country:US
Practice Address - Phone:330-433-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034020363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health