Provider Demographics
NPI:1689809998
Name:TREMBLAY, LYDIA ALMA (MSW)
Entity Type:Individual
Prefix:MISS
First Name:LYDIA
Middle Name:ALMA
Last Name:TREMBLAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 CHARLTON ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-1910
Mailing Address - Country:US
Mailing Address - Phone:508-765-9101
Mailing Address - Fax:508-764-7389
Practice Address - Street 1:52 CHARLTON ST
Practice Address - Street 2:
Practice Address - City:SOUTHBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01550-1910
Practice Address - Country:US
Practice Address - Phone:508-765-9101
Practice Address - Fax:508-764-7389
Is Sole Proprietor?:No
Enumeration Date:2009-05-17
Last Update Date:2009-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker