| Doctor Name: | LYDIA OYOLA-DIAZ |
| NPI Number: | 1033512629 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED |
| License Number: | 101YMO800X |
| Business Practice Address: | 587 E State Road 434 Unit 1021 Longwood, FL - 327505284 |
| Business Phone Number: | 4073318002 |
| Business Fax Number: | 4073318659 |
| Mailing Address: | 587 E State Road 434 Unit 1021, LONGWOOD |
| State: | FL |
| Postal Code: | 327505284 |
| Phone Number: | 4073318002 |
| Fax Number: | 4073318659 |
| NPI Enumeration Date: | 09/26/2014 |
| NPI Last Update Date: | 09/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 101YMO800X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |