Individual
DR. LYDIA A AYDLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
98D COPE CREEK RD, SYLVA, NC 28779-9508
(828) 586-6600
(828) 586-6601
Mailing address
PO BOX 728, SYLVA, NC 28779-0728
(828) 586-6600
(828) 586-6601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1798
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1798
STATE LICENSURE
NC
05
—
6000198
—
NC
Enumeration date
07/29/2009
Last updated
02/06/2012
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