MRS. LIDIA ESTRADA CORDERO (NPI# 1598134231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598134231 |
Entity Type | Individual |
Full Name | MRS. LIDIA ESTRADA CORDERO |
Credential | MSW, MED, EDS. |
Practice Address |
2817 Fairview St Bethlehem PA 18020-5505 |
Practice Telephone | 6108673659 |
Practice Fax Number | 6108673659 |
Mailing Telephone | 6108673659 |
Mailing Fax Number | 6108673659 |
Enumeration Date | 2015-09-23 |
Last Update Date | 2015-09-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
Street Address |
2817 FAIRVIEW ST |
City | BETHLEHEM |
State | PA |
Zip Code | 18020-5505 |
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 | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801800388 | Kelly O'shea Carney | Psychologist | 54 S Commerce Way, Suite 170, Bethlehem, PA 18017-8914 | 2006-07-28 |
1285695213 | Gerald Andre' Zimmerman | Psychologist | 35 E Elizabeth Ave Ste 37, Bethlehem, PA 18018-6527 | 2006-03-29 |
1760451207 | Mary Jule Eichman | Psychologist | 3201 Highfield Dr, Suite J, Bethlehem, PA 18020-1113 | 2006-03-16 |
1437189289 | Frank William Barbehenn | Psychologist | 623 W Union Blvd, Suite 1a, Bethlehem, PA 18018-3708 | 2006-07-04 |
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1003416959 | Ronald Dean | Psychologist | 1706 Golden Mile Road, Wysox, PA 18854-7708 | 2020-10-29 |
1215594460 | Neil Patrick Jones | Psychologist | 121 Meyran Ave Bldg Rm323, Pittsburgh, PA 15213-3308 | 2019-05-23 |
1962981860 | Ocd Spectrum, Inc | Psychologist | 307 4th Ave Ste 1100, Pittsburgh, PA 15222-2107 | 2018-08-10 |
1588143770 | Troy Psychological Services, Pllc | Psychologist | 122 Elmira St., Suite B, Troy, PA 16947-1202 | 2018-08-09 |
1326540592 | Julia West Phd LLC | Psychologist | 1005 Brookside Rd Ste 130, Allentown, PA 18106-9023 | 2018-03-05 |
1053848580 | Ronald Daniels | Psychologist | 2570 Terraced Hill Ct, Pottstown, PA 19464-3146 | 2017-05-15 |
1376088591 | Diane Jarin | Psychologist | 1528 Montgomery Ave, Bryn Mawr, PA 19010-1658 | 2016-12-23 |
1427412170 | James M Mcfalls | Psychologist | 212 Idris Rd, C-2, Merion Station, PA 19066-1633 | 2016-04-08 |
1568841187 | Elizabeth Turner Stinson | Psychologist | 37 S. Clinton St., Doylestown, PA 18901 | 2015-05-28 |
1689086704 | Jacqueline Sullivan | Psychologist | 344 Mary St, Downingtown, PA 19335-2518 | 2014-05-22 |
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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.