Individual
MRS. LAILA PEDERSEN FINGERHUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LMFT
Contact information
Practice address
17917 KILLINGTON WAY, SOUTH BEND, IN 46614-9773
(574) 291-2645
(574) 291-3700
Mailing address
17917 KILLINGTON DR, SOUTH BEND, IN 46614-9773
(574) 291-2645
(574) 291-3700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002895A
IN
106H00000X
Marriage & Family Therapist
35001428A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113330
—
IN
01
—
11627900
CAQH
IN
Enumeration date
11/13/2006
Last updated
01/20/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us