Provider Demographics
NPI:1881295483
Name:LUDINGTON, TREVOR (PSYD)
Entity type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:
Last Name:LUDINGTON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 S WESTLAKE BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2925
Mailing Address - Country:US
Mailing Address - Phone:805-390-3582
Mailing Address - Fax:
Practice Address - Street 1:875 S WESTLAKE BLVD STE 211
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2925
Practice Address - Country:US
Practice Address - Phone:805-449-4375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3773103TC0700X
CA33494103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical