Provider Demographics
NPI:1548224371
Name:LYTER, JUDITH ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANN
Last Name:LYTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:JUDY
Other - Middle Name:A
Other - Last Name:LYLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC RN
Mailing Address - Street 1:434 PINE HILL RD
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8018
Mailing Address - Country:US
Mailing Address - Phone:717-566-8341
Mailing Address - Fax:717-583-1871
Practice Address - Street 1:5405 JONESTOWN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-4021
Practice Address - Country:US
Practice Address - Phone:717-657-5352
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002102101YM0800X
PARN170441L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered163W00000XNursing Service ProvidersRegistered Nurse