Provider Demographics
NPI:1528837010
Name:LADUNA, REABIE ELIZABETH
Entity type:Individual
Prefix:
First Name:REABIE
Middle Name:ELIZABETH
Last Name:LADUNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REABIE
Other - Middle Name:ELIZABETH
Other - Last Name:LADUNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP
Mailing Address - Street 1:3446 POPPS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:DIBERVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39540
Mailing Address - Country:US
Mailing Address - Phone:228-626-6008
Mailing Address - Fax:
Practice Address - Street 1:3446 BIG RIDGE RD
Practice Address - Street 2:
Practice Address - City:DIBERVILLE
Practice Address - State:MS
Practice Address - Zip Code:39540-2647
Practice Address - Country:US
Practice Address - Phone:228-386-1185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS9064122084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine