Provider Demographics
NPI:1952444259
Name:LYTTON, LINDA R (LPC LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:R
Last Name:LYTTON
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12046 MARKET SQUARE CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112
Mailing Address - Country:US
Mailing Address - Phone:703-791-6888
Mailing Address - Fax:703-330-5633
Practice Address - Street 1:8421 DORSEY CIRCLE
Practice Address - Street 2:SUDLEY PARK PROFESSIONAL CTR
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110
Practice Address - Country:US
Practice Address - Phone:703-330-5633
Practice Address - Fax:703-330-5633
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002285101YP2500X
VA0717000047106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist