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General NPI Number Information
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NPI Number | 1649187881
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Entity Type | Individual
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Provider Name | LYDIA PATSELAS LPC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 486 NORRISTOWN RD STE 133
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City | BLUE BELL
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State | PA
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Zip | 19422-2353
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Country | US
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Telephone | 610-247-7724
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 ADAMS AVE STE 100
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City | AUDUBON
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State | PA
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Zip | 19403-2404
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Country | US
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Telephone | 610-389-9090
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC019943
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License Number State | PA
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