Provider Demographics
NPI:1154075414
Name:LADUKE, RICHARD EMMETT (LPC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:EMMETT
Last Name:LADUKE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2531 HALLECK DR
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3805
Mailing Address - Country:US
Mailing Address - Phone:610-349-3466
Mailing Address - Fax:
Practice Address - Street 1:2531 HALLECK DR
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3805
Practice Address - Country:US
Practice Address - Phone:610-349-3466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002243101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional