Dr. Jennifer Rebecca Lydon-Lam, Ph.D.
Psychologist, Clinical in Livermore, CA. Individual provider (NPI-1).
NPI number1780914036
StatusActive
Last updated in NPPESMay 16, 2024
Details
- NPI
- 1780914036
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Rebecca Lydon-Lam
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2010
- Certification date
- May 16, 2024
- Last updated
- May 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY28072 | CA | Yes |
Practice location
3000 Las Positas RdLivermore, CA 94551-9627
Phone 925-243-2600
Mailing address
3000 Las Positas RdLivermore, CA 94551-9627
Phone 925-243-2600
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