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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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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.