Individual
MS. NANCY GAIL LUDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
3570 LEXINGTON AVE N, SUITE 100, SHOREVIEW, MN 55126-8049
(651) 481-0664
Mailing address
6090 117TH ST N, WHITE BEAR LAKE, MN 55110-5725
(651) 402-4145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3548
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15F49LU
BCBS OF MN
MN
01
—
HP26421
HEALTH PARTNERS
MN
Enumeration date
12/14/2006
Last updated
07/08/2007
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