Bullock, Lydia Davidson

Bullock, Lydia Davidson is an sole proprietor health care provider with primary practice located at 2416 Woodland Dr , Ogden UT 84403-5110. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bullock, Lydia Davidson can be contacted via phone (801) 475-4609.

Contact Information

Primary practice address
2416 Woodland Dr Ogden UT 84403-5110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5297671-3501 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5297671-3502 Utah

Profile Details

NPI number 1326189457
LBN Legal business name Bullock, Lydia Davidson
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2007
Last updated Aug 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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