| Doctor Name: | TABITHA LYDA |
| NPI Number: | 1922443837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. |
| License Number: | |
| Business Practice Address: | 70 W Beaver St Zelienople, PA - 160631582 |
| Business Phone Number: | 7244524453 |
| Business Fax Number: | 7244526576 |
| Mailing Address: | 4055 Dalewood St, PITTSBURGH |
| State: | PA |
| Postal Code: | 152273433 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2013 |
| NPI Last Update Date: | 05/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |