DR. GEOFFREY WAYNE LUDFORD EDD NPI 1205888393

NPI Information

NPI: 1205888393
Provider Name: DR. GEOFFREY WAYNE LUDFORD, EDD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
3300 ACADEMY AVE
PORTSMOUTH, VA
ZIP 23703
Phone: (757) 483-6404
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DR. Geoffrey Wayne Ludford, EDD is a professional counselor in Portsmouth, VA with 34 years of experience. DR. Geoffrey Wayne Ludford, EDD NPI is 1205888393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3300 ACADEMY AVE
PORTSMOUTH, VA
ZIP 23703-205
Phone: (757) 483-6404
Fax: (757) 483-0737

The NPI 1205888393 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 10/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		0717000203	VIRGINIA	No
2	101YP2500X	Counselor	Professional	0701002140	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005409357	MEDICAID	VIRGINIA
2	214324	OTHER	VIRGINIA	ANTHEM BCBS
3	O81365	OTHER	VIRGINIA	SENTARA/OPTIMA HEALTH INS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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