Fingerhut, Laila Pedersen

Fingerhut, Laila Pedersen is an sole proprietor health care provider with primary practice located at 17917 Killington Way , South Bend IN 46614-9773. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fingerhut, Laila Pedersen can be contacted via phone (574) 291-2645.

Contact Information

Primary practice address
17917 Killington Way South Bend IN 46614-9773
Phone: (574) 291-2645
Fax: (574) 291-3700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34002895A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001428A Indiana

Profile Details

NPI number 1427129923
LBN Legal business name Fingerhut, Laila Pedersen
Credentials LCSW LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Jan 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427129923 NPPES
Indiana Other 11627900 CAQH
Indiana MEDICAID 100113330 CAQH

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