Provider Demographics
NPI:1598134231
Name:CORDERO, LIDIA ESTRADA (MSW, MED, EDS)
Entity Type:Individual
Prefix:MRS
First Name:LIDIA
Middle Name:ESTRADA
Last Name:CORDERO
Suffix:
Gender:F
Credentials:MSW, MED, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-5505
Mailing Address - Country:US
Mailing Address - Phone:610-867-3659
Mailing Address - Fax:610-867-3659
Practice Address - Street 1:2817 FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-5505
Practice Address - Country:US
Practice Address - Phone:610-867-3659
Practice Address - Fax:610-867-3659
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No104100000XBehavioral Health & Social Service ProvidersSocial Worker