Lidren, Donna May

Lidren, Donna May is an individual health care provider with primary practice located at 2013 So 19Th St , Tacoma WA 98405. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lidren, Donna May can be contacted via phone (253) 383-3355.

Contact Information

Primary practice address
2013 So 19Th St Tacoma WA 98405
Phone: (253) 383-3355
Fax: (253) 383-3627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00001859 Washington
Behavioral Health & Social Service Providers / Health Service 103TH0100X PY00001859 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00001859 Washington

Profile Details

NPI number 1073534079
LBN Legal business name Lidren, Donna May
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073534079 NPPES
Washington Other 0076471 DEPT OF L&I
Washington Other LI0788 DEPT OF L&I

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