Provider Demographics
NPI:1689986531
Name:POSTLEWAIT, LYDIA RUTH (MS)
Entity Type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:RUTH
Last Name:POSTLEWAIT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 RED HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-5127
Mailing Address - Country:US
Mailing Address - Phone:615-594-7473
Mailing Address - Fax:
Practice Address - Street 1:162 COUNTY SERVICES RD
Practice Address - Street 2:
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-1748
Practice Address - Country:US
Practice Address - Phone:615-463-6168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health