Individual
DR. NICOLE SHEREE LUDDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 GOODMAN AVENUE, DEPT. OF PSYCHIATRY, CINCINNATI, OH 45219
(513) 584-8577
(513) 584-8198
Mailing address
2830 VICTORY PARKWAY, CINCINNATI, OH 45206
(513) 245-3617
(513) 475-7259
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40905
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026958
PTAN
—
05
—
200863750
—
IN
01
—
401822
TRICARE
KY
05
—
7100013730
—
KY
Enumeration date
02/02/2007
Last updated
07/26/2011
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