Provider Demographics
NPI:1619123734
Name:SIT, LYDIA KAY (MD)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:KAY
Last Name:SIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BALA AVE.
Mailing Address - Street 2:3RD FLOOR SUITE
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004
Mailing Address - Country:US
Mailing Address - Phone:856-553-7748
Mailing Address - Fax:610-664-1726
Practice Address - Street 1:110 BALA AVE.
Practice Address - Street 2:3RD FLOOR SUITE
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004
Practice Address - Country:US
Practice Address - Phone:856-553-7748
Practice Address - Fax:610-664-1726
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4342472084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry