Individual
DR. MARILYN T LYGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
105 MADISONVILLE RD, BASKING RIDGE, NJ 07920-1665
(908) 766-6836
Mailing address
105 MADISONVILLE RD, BASKING RIDGE, NJ 07920-1665
(908) 766-6836
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2061
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0519219000
AMERIHEALTH PPO PIN #
NJ
01
—
060002061NJ01
ANTHEM HEALTH PIN #
NJ
01
—
132379000
MAGELLAN PROVIDER #
NJ
01
—
4564859
AETNA PIN#
NJ
Enumeration date
08/03/2006
Last updated
12/20/2010
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