| Dr. Lyz, Llc | |
|
15 E. Walnut St. Nazareth PA 18064-2708 | |
| (610) 365-5042 | |
| (610) 365-5044 |
| Full Name | Dr. Lyz, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 15 E. Walnut St., Nazareth, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Deboer Kreider (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6103655042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lyz, Llc 15 E. Walnut St. Nazareth PA 18064-2708 Ph: (610) 365-5042 | Dr. Lyz, Llc 15 E. Walnut St. Nazareth PA 18064-2708 Ph: (610) 365-5042 |
| NPI Number | 1659848752 |
|---|---|
| Provider Enumeration Date | 10/26/2018 |
| Last Update Date | 11/21/2022 |
| Certification Date | 11/21/2022 |
| Medicare PECOS PAC ID | 9335514678 |
|---|---|
| Medicare Enrollment ID | O20230419000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659848752 | NPI | - | NPPES |
| PS017673 | Other | PA | STATE BOARD OF PSYCHOLOGY |
| Provider Name | Elizabeth R Deboer Kreider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154701639 PECOS PAC ID: 1557639291 Enrollment ID: I20230421000038 |
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