Provider Demographics
NPI:1063497725
Name:LUDWIG, ROSEMARIE (LPC)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2432 W PEORIA AVE
Mailing Address - Street 2:STE 1002
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4727
Mailing Address - Country:US
Mailing Address - Phone:602-997-1550
Mailing Address - Fax:602-678-0235
Practice Address - Street 1:2432 W PEORIA AVE
Practice Address - Street 2:STE 1002
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4727
Practice Address - Country:US
Practice Address - Phone:602-997-1550
Practice Address - Fax:602-678-0235
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC- 0399101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional