Organization
DR. LYZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH DEBOER KREIDER PH.D (OWNER/PSYCHOLOGIST)
(610) 365-5042
Entity
Organization
Contact information
Practice address
15 E. WALNUT ST., NAZARETH, PA 18064-2708
(610) 365-5042
(610) 365-5044
Mailing address
15 E. WALNUT ST., NAZARETH, PA 18064-2708
(610) 365-5042
(610) 365-5044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS017673
STATE BOARD OF PSYCHOLOGY
PA
Enumeration date
10/26/2018
Last updated
11/21/2022
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