Provider Demographics
NPI:1760096267
Name:GAIL R. LUDWIG
Entity Type:Organization
Organization Name:GAIL R. LUDWIG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:ROBERTA
Authorized Official - Last Name:LUDWIG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-327-5457
Mailing Address - Street 1:689 OXFORD BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1637
Mailing Address - Country:US
Mailing Address - Phone:412-327-5457
Mailing Address - Fax:
Practice Address - Street 1:689 OXFORD BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1637
Practice Address - Country:US
Practice Address - Phone:412-327-5457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health