Doctor Name: | LYDIA LEE DALEY |
NPI Number: | 1245385855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP, BC |
License Number: | RN048295 |
Business Practice Address: | 223 N. Anderson Drive Swainsboro, GA - 30401 |
Business Phone Number: | 4782892530 |
Business Fax Number: | 4782892532 |
Mailing Address: | P O Box 1259, 223 N. Anderson Drive SWAINSBORO |
State: | GA |
Postal Code: | 30401 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | RN048295 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |