Healthcare Provider Details
I. General information
NPI: 1538048160
Provider Name (Legal Business Name): LETHYRA PSYCHOLOGICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
180 SIANNA CIR
WERNERSVILLE PA
19565-2305
US
IV. Provider business mailing address
180 SIANNA CIR
WERNERSVILLE PA
19565-2305
US
V. Phone/Fax
- Phone: 610-401-5876
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CARRIE
FRENCH
Title or Position: OWNER
Credential: PSYD
Phone: 610-401-5876