Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY0003081 | FL |
Y | 103TC0700X | Clinical Psychologist | PY0003081 | FL |
NPI | 1013118470 |
---|---|
Provider Name | Dr. Robert Paul Ludwig |
First Address | Miami, FL 33173 |
Second Address | Miami, FL 33173 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 08/07/2007 |