MEDICARE: ROSEMARIE LUDWIG LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC- 0399	AZ

General Provider Information

NPI Number	:	1063497725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIE LUDWIG LPC

Provider Business Mailing Address
First Line	:	5449 N 80TH LN
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85303-5517
Country	:	US
Telephone Number	:	480-338-8788
Fax Number	:	623-872-8778

Provider Business Practice Location Address
First Line	:	5449 N 80TH LN
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85303-5517
Country	:	US
Telephone Number	:	480-338-8788
Fax Number	:	623-872-8778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	05/08/2025

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