Individual
DR. LYDIA EMILY TREADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
47 TRIPHAMMER RD, QUEENSBURY, NY 12804-8065
(518) 812-0757
Mailing address
47 TRIPHAMMER RD, QUEENSBURY, NY 12804-8065
(518) 812-0757
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
014679
NY
103G00000X
Clinical Neuropsychologist
014679
—
103T00000X
Psychologist
014679
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
014679
NY
103TA0700X
Adult Development & Aging Psychologist
014679
NY
103TB0200X
Cognitive & Behavioral Psychologist
014679
NY
251S00000X
Community/Behavioral Health Agency
014679
NY
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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