Healthcare Provider Details

I. General information

NPI: 1548224371
Provider Name (Legal Business Name): JUDITH ANN LYTER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: JUDY A LYLER LPC RN

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5405 JONESTOWN RD SUITE 103
HARRISBURG PA
17112-4021
US

IV. Provider business mailing address

434 PINE HILL RD
HUMMELSTOWN PA
17036-8018
US

V. Phone/Fax

Practice location:
  • Phone: 717-657-5352
  • Fax:
Mailing address:
  • Phone: 717-566-8341
  • Fax: 717-583-1871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC002102
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN170441L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: