DR. LYZ, LLC (NPI# 1659848752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659848752 |
| Entity Type | Organization |
| Organization Name | DR. LYZ, LLC |
| Practice Address |
3005 Brodhead Rd Ste 107 Bethlehem PA 18020-9299 |
| Mailing Address |
Po Box 45 Nazareth PA 18064-0045 |
| Practice Telephone | 6104284825 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | DR. ELIZABETH DEBOER KREIDER (OWNER) |
| Authorized Official Telephone | 6104284825 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE BOARD OF PSYCHOLOGY | PS017673 | 01 |
| Street Address |
3005 BRODHEAD RD STE 107 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18020-9299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315504 | Bgp LLC | Non-emergency Medical Transport (VAN) | 4329 Rexford Drive, Bethlehem, PA 18020 | 2017-06-06 |
| 1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
| 1104350206 | Jamie Green | Speech-Language Pathologist | 185 Butztown Road, Bethlehem, PA 18020 | 2017-04-14 |
| 1396102075 | Kati Holmes | Specialist/Technologist | 2030 Highland Ave., Coordinated Heatlh, Bethlehem, PA 18020 | 2016-01-26 |
| 1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
| 1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
| 1861720575 | Kellyn Foundation | Voluntary or Charitable | 2820 Emrick Boulevard, Bethlehem, PA 18020 | 2009-11-19 |
| 1639358542 | Ronald R Strisofsky Jr. | Dentist | 3835 Green Pond Rd, Northampton Community College, Bethlehem, PA 18020 | 2007-10-26 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1265635494 | Tonya Mineo | Speech-Language Pathologist | 3819 Timothy Ln, Bethlehem, PA 18020 | 2007-06-06 |
| Find all providers in zip 18020 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952230 | Janelle R Jefferson | Psychologist | 1717 Washington Blvd Apt 2, Easton, PA 18042-4673 | 2020-05-01 |
| 1477013803 | Amirah Rahim | Psychologist | 240 Cherry St, Sharon Hill, PA 19079-1308 | 2019-03-21 |
| 1356670483 | Johanna Hernandez | Psychologist | 320 Harbison Rd, Wayne, PA 19087-5203 | 2009-12-20 |
| 1336268069 | Joseph William Knox | Psychologist | 1000 Cedar Knls, Newtown Square, PA 19073-2808 | 2007-03-27 |
| 1467505065 | Intercultural Family Services, Inc. | Psychologist | 4254-56 Chestnut Street, Philadelphia, PA 19104 | 2007-01-19 |
| 1821651662 | Candace Therese Irabli | Psychologist | 921 Chester Pike, Sharon Hill, PA 19079-1411 | 2019-04-17 |
| 1407329451 | Nathalie Rieder | Psychologist | 1086 Franklin St, Johnstown, PA 15905-4305 | 2019-01-02 |
| 1417444746 | Samuel A Faulkner | Psychologist | 100 N Academy Ave, Danville, PA 17822-9800 | 2018-04-23 |
| 1124236849 | Belinda Joyce Madison | Psychologist | 171 W Lancaster Ave, Paoli, PA 19301-1775 | 2007-05-18 |
| 1659442739 | Richard J Freedman | Psychologist | 129 N Michael St, Saint Marys, PA 15857-1171 | 2006-11-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.