Martin Joseph Lyden in Rensselaer - Psychologist

Martin Joseph Lyden - NPI 1215926456

Martin Joseph Lyden is a Psychologist in Rensselaer, New York. Martin Joseph Lyden practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Martin Joseph Lyden is 1215926456. The last update date is 2010-10-08.

Martin Joseph Lyden's current location address is 1807 9th St, Rensselaer, New York. You can contact this provider via phone number 5182716949 and fax number 5184497965. The mailing address for Martin Joseph Lyden is 1807 9th St, Rensselaer, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Martin Joseph Lyden
Address 1807 9th St, Rensselaer, New York
Phone Number 5182716949
Fax Number 5184497965
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1215926456
Provider Enumeration Date 2005-10-20
Last Updated Date 2010-10-08

Provider Mailing Address Detail

Address 1807 9th St
City Rensselaer
State New York (NY)
Post Code 121441420
Phone Number 5182716949
Fax Number 5184497965

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 6029
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
568790 NY --
6111201 NY UNITED BEHAVIORAL HEALTH
141721313 NY VALUEOPTIONS
41171 NY MVP
490239002 NY BLUE SHIELD OF NENY
58184 NY CIGNA

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FAQs about Martin Joseph Lyden

What is the Martin Joseph Lyden's unique identification number?

The Martin Joseph Lyden has been assigned the NPI (National Provider Identifier) Number 1215926456 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Martin Joseph Lyden's facilities are geographically located?

The facilities of Martin Joseph Lyden are physically situated at the following location: 1807 9Th St, Rensselaer, NY, 121441420.

What is the Martin Joseph Lyden's specialty and taxonomy code?

The Martin Joseph Lyden's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215926456 to Martin Joseph Lyden?

The Centers for Medicare & Medicaid Services assigned the 1215926456 to Martin Joseph Lyden on 2005-10-20.

When was the Martin Joseph Lyden's information last updated?

The Martin Joseph Lyden's information was last updated on 2010-10-08.

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