Provider Demographics
NPI:1184749335
Name:LYDZINSKI PICK, NICOLE L (MA, EDS, NCC,LPC)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:L
Last Name:LYDZINSKI PICK
Suffix:
Gender:F
Credentials:MA, EDS, NCC,LPC
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:L
Other - Last Name:HALUSHKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 TERRY DR STE 17G
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1837
Mailing Address - Country:US
Mailing Address - Phone:215-499-3136
Mailing Address - Fax:
Practice Address - Street 1:4 TERRY DR STE 17G
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1837
Practice Address - Country:US
Practice Address - Phone:215-499-3136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health