National Provider Identifier Database

LYDIA A BIRD, LPC, MAC – NPI #1477082410
Professional


Contact Information

LYDIA A BIRD, LPC, MAC
379 W KATMAI AVE
SOLDOTNA, AK99669-7315
Phone: 907-953-9655
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Addiction (Substance Use Disorder) 101YA0400X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for LYDIA A BIRD

NPI Number 1477082410
Credentials LPC, MAC
Entity Individual
Enumeration date 06/04/2017
Last updated 11/06/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • AK License #: 109622
  • AK Other: 109622 LICENSED PROFESSIONAL COUNSELOR
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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