Lydia Haren
Addiction Psychologist (Substance Use Disorder)
2900 Evatt Ln Suite 106
Charleston
, South Carolina 29405-8700
Lydia Haren
Addiction Psychologist (Substance Use Disorder)
2900 Evatt Ln Suite 106
Charleston
, South Carolina 29405-8700
(843) 745-5153
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Lydia Haren
- 2900 Evatt Ln Suite 106
- Charleston, SC
- Zip : 29405-8700
- Phone : (843) 745-5153
Second Address
- Lydia Haren
- 2900 Evatt Ln Suite 106
- Charleston, SC
- Zip : 29405-8700
- Phone : (843) 745-5153
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 20542 | SC |
National Provider Identifier
| NPI | 1588766844 |
|---|---|
| Provider Name | Lydia Haren |
| First Address | Charleston, SC 29405-8700 |
| Second Address | Charleston, SC 29405-8700 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 205423 | (05) | SC |
| H64584 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.