Provider Demographics
NPI:1487035903
Name:REDMOND, LYA P (MA)
Entity Type:Individual
Prefix:MRS
First Name:LYA
Middle Name:P
Last Name:REDMOND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1517 E MOUNT PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19150-1711
Mailing Address - Country:US
Mailing Address - Phone:215-548-1139
Mailing Address - Fax:215-548-1139
Practice Address - Street 1:1315 WINDRIM AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-2710
Practice Address - Country:US
Practice Address - Phone:215-456-2626
Practice Address - Fax:215-754-0213
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health