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NPI Code Detail

MEDICARE: KERRY ZANDRA LEDWIG-NEWMAN

MEDICARE: KERRY ZANDRA LEDWIG-NEWMAN
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
1101YM0800XMental Health Counselor83164TX

General Provider Information

NPI Number : 1710631122
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY ZANDRA LEDWIG-NEWMAN
Provider Business Mailing Address
First Line : 4200 MONTROSE BLVD STE 520
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5445
Country : US
Telephone Number : 713-628-6744
Fax Number :
Provider Business Practice Location Address
First Line : 4200 MONTROSE BLVD STE 520
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5445
Country : US
Telephone Number : 713-628-6744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2022
Last Update Date : 02/05/2022

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Directions to “ KERRY ZANDRA LEDWIG-NEWMAN ” Practice Location

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