Provider Demographics
NPI:1073717534
Name:THE LUDDEN GROUP, P.C.
Entity Type:Organization
Organization Name:THE LUDDEN GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:LUDDEN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:972-772-8484
Mailing Address - Street 1:935 W RALPH HALL PKWY
Mailing Address - Street 2:STE 105
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6659
Mailing Address - Country:US
Mailing Address - Phone:972-772-8484
Mailing Address - Fax:469-698-8569
Practice Address - Street 1:935 W RALPH HALL PKWY
Practice Address - Street 2:STE 105
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6659
Practice Address - Country:US
Practice Address - Phone:972-772-8484
Practice Address - Fax:469-698-8569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7212170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170300000XOther Service ProvidersGenetic Counselor, MSGroup - Single Specialty