Provider Demographics
NPI:1932323920
Name:NORCIA, LYDIA M (CA LMFT)
Entity Type:Individual
Prefix:MS
First Name:LYDIA
Middle Name:M
Last Name:NORCIA
Suffix:
Gender:F
Credentials:CA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 SARATOGA AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-4900
Mailing Address - Country:US
Mailing Address - Phone:408-358-3000
Mailing Address - Fax:408-356-8417
Practice Address - Street 1:1475 SARATOGA AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-4900
Practice Address - Country:US
Practice Address - Phone:408-358-3000
Practice Address - Fax:408-356-8417
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 15518106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist