Individual
LYDIA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 767-4403
(727) 767-6721
Mailing address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 767-4403
(727) 767-6721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
04/01/2011
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