Provider Demographics
NPI:1386068831
Name:KIRCHMAN, LYDIA MARIE (LMFT)
Entity type:Individual
Prefix:
First Name:LYDIA
Middle Name:MARIE
Last Name:KIRCHMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 IOWA AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3228
Mailing Address - Country:US
Mailing Address - Phone:785-643-2619
Mailing Address - Fax:
Practice Address - Street 1:114 IOWA AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3228
Practice Address - Country:US
Practice Address - Phone:785-643-2619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2552106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist