CORI ELIZABETH LYDIC
NPI 1447504915
Counselor - Mental Health in Vancouver, WA
Active since November 05, 2012
About Cori Elizabeth Lydic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORI ELIZABETH LYDIC (NPI 1447504915) is an individual mental health provider in Vancouver, Washington and active in the NPI registry since November 2012.
NPPES Registry Identity
NPI1447504915
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCORI ELIZABETH LYDIC
Location Address11719 NE 95TH ST STE DVancouver, WA 98682-2444
Mailing Address11719 Ne 95th St Ste DVancouver, WA 98682-2444 · (360) 397-8246
Phone(360) 397-8246
Sole ProprietorNo
Enumeration DateNovember 5, 2012
Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1447504915 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11719 NE 95TH ST STE D, Vancouver, WA 98682
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Peer Specialist
11719 NE 95TH ST STE D
VANCOUVER, WA 98682
VANCOUVER, WA 98682
Clinic/Center (Primary Care)
11719 NE 95TH ST STE D
VANCOUVER, WA 98682
VANCOUVER, WA 98682
Nurse Practitioner (Psychiatric/Mental Health)
11719 NE 95TH ST STE D
VANCOUVER, WA 98682
VANCOUVER, WA 98682
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447504915, enumerated as an "individual" on November 05, 2012.
The provider is located at 11719 NE 95TH ST STE D VANCOUVER, WA 98682 and the phone number is (360) 397-8246.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
