Provider Demographics
NPI:1093133456
Name:LYDEN, BRITTANY (LSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:LYDEN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 S GEORGE ST STE 228
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-1400
Mailing Address - Country:US
Mailing Address - Phone:717-668-9306
Mailing Address - Fax:717-845-7270
Practice Address - Street 1:18 S GEORGE ST STE 228
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-1400
Practice Address - Country:US
Practice Address - Phone:717-668-9306
Practice Address - Fax:717-845-7270
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW127641101YM0800X, 104100000X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool