Landefeld, Ralph Edwin

Landefeld, Ralph Edwin is an individual health care provider with primary practice located at 10159 Nancy Dr , Meadville PA 16335-6323. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Landefeld, Ralph Edwin can be contacted via phone (724) 601-4901.

Contact Information

Primary practice address
10159 Nancy Dr Meadville PA 16335-6323
Fax: (814) 336-5388
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS002990-L Pennsylvania

Profile Details

NPI number 1073557138
LBN Legal business name Landefeld, Ralph Edwin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 5th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073557138 NPPES
Pennsylvania MEDICAID 0146700

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