Provider Demographics
NPI:1679931604
Name:HUNINGHAKE, LYDIA R (BS, MS)
Entity Type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:R
Last Name:HUNINGHAKE
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 BUTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6627
Mailing Address - Country:US
Mailing Address - Phone:785-341-0184
Mailing Address - Fax:
Practice Address - Street 1:2441 BUTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6627
Practice Address - Country:US
Practice Address - Phone:785-341-0184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst