Individual provider · Type 1 NPI
Katherine Gamble Lydick
Mental Health Counselor · New York, NY
NPI number
1669628665
Active
Practice location
50 W 23rd St, 9th Floor
New York, NY 10010-5205
Fax (212) 792-6058
Mailing address
107 Durand Rd
Maplewood, NJ 07040-2103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1669628665
Katherine Gamble Lydick's National Provider Identifier is 1669628665, issued on Aug 11, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Aug 11, 2008.