MRS. LIDIA ESTRADA CORDERO


Address: 2817 Fairview St, Bethlehem, PA 18020-5505
Phone: 6108673659

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2817 FAIRVIEW ST
City BETHLEHEM
State PA
Zip Code 18020-5505

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City BETHLEHEM
Zip Code 18020

Improve Information

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Dataset Information

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.

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