Provider Demographics
NPI:1861403255
Name:LADLEY, CURTISS A (PHD)
Entity type:Individual
Prefix:
First Name:CURTISS
Middle Name:A
Last Name:LADLEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 MARCON BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-9334
Mailing Address - Country:US
Mailing Address - Phone:610-266-2656
Mailing Address - Fax:610-266-2627
Practice Address - Street 1:881 MARCON BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-9334
Practice Address - Country:US
Practice Address - Phone:610-266-2656
Practice Address - Fax:610-266-2627
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2017-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS009269L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1861403255Medicare UPIN