Individual
MS. SHIRLEY ANNE LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, LCSW
Contact information
Practice address
313 N TIOGA ST, ITHACA, NY 14850-4205
(607) 273-1441
Mailing address
328 S GENEVA ST, ITHACA, NY 14850-5418
(607) 273-1441
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F300114-1
NY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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