Provider Demographics
NPI:1750263505
Name:DEERING, LYDIA CATHERINE (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LYDIA
Middle Name:CATHERINE
Last Name:DEERING
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6630 S MCCARRAN BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6186
Mailing Address - Country:US
Mailing Address - Phone:775-870-3680
Mailing Address - Fax:
Practice Address - Street 1:6630 S MCCARRAN BLVD STE 201
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6186
Practice Address - Country:US
Practice Address - Phone:775-870-3680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-4119235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist