Hackenberg, Lydia B

Hackenberg, Lydia B is an individual health care provider with primary practice located at 344 N Reading Rd , Ephrata PA 17522-1651. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hackenberg, Lydia B can be contacted via phone (717) 738-1125.

Contact Information

Primary practice address
344 N Reading Rd Ephrata PA 17522-1651
Phone: (717) 738-1125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS019329 Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS019329 Pennsylvania

Profile Details

NPI number 1538513528
LBN Legal business name Hackenberg, Lydia B
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2016
Last updated Jul 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538513528 NPPES
Pennsylvania MEDICAID 103403833
Pennsylvania Other PS019329

Popular Providers