Ludford, Geoffrey Wayne

Ludford, Geoffrey Wayne is an individual health care provider with primary practice located at 3300 Academy Ave , Portsmouth VA 23703-3205. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Ludford, Geoffrey Wayne can be contacted via phone (757) 483-6404.

Contact Information

Primary practice address
3300 Academy Ave Portsmouth VA 23703-3205
Phone: (757) 483-6404
Fax: (757) 483-0737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002140 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000203 Virginia

Profile Details

NPI number 1205888393
LBN Legal business name Ludford, Geoffrey Wayne
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 19th, 2012 - about 12 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 1205888393 NPPES
Virginia MEDICAID 005409357
Virginia Other 214324
Virginia Other O81365

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