Provider Demographics
NPI:1497122030
Name:LUDENA, NARDA (LMFT)
Entity Type:Individual
Prefix:
First Name:NARDA
Middle Name:
Last Name:LUDENA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BEEMAN PL
Mailing Address - Street 2:
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1337
Mailing Address - Country:US
Mailing Address - Phone:973-525-2314
Mailing Address - Fax:973-782-4260
Practice Address - Street 1:5 BEEMAN PL
Practice Address - Street 2:
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1337
Practice Address - Country:US
Practice Address - Phone:973-525-2314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37F100177300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist