Haker, Lydia Jean

Haker, Lydia Jean is an individual health care provider with primary practice located at 1118 Twilight Dr , De Pere WI 54115-1372. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Haker, Lydia Jean can be contacted via phone (715) 966-3596.

Contact Information

Primary practice address
1118 Twilight Dr De Pere WI 54115-1372
Phone: (715) 966-3596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3537-226 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5213-17 Wisconsin

Profile Details

NPI number 1245759190
LBN Legal business name Haker, Lydia Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated Jun 12th, 2024 - about last year

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.

Request for update

Popular Providers