Lyddane, Mollie

Lyddane, Mollie is an sole proprietor health care provider with primary practice located at 2 Bayside Ct , Richmond CA 94804-7441. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Lyddane, Mollie can be contacted via phone (281) 793-1084.

Contact Information

Primary practice address
2 Bayside Ct Richmond CA 94804-7441
Phone: (281) 793-1084
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 24783 California
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PSY 24783 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 24783 California
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X PSY 24783 California
Behavioral Health & Social Service Providers / Health 103TH0004X PSY 24783 California
Behavioral Health & Social Service Providers / Health Service 103TH0100X PSY 24783 California
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PSY 24783 California

Profile Details

NPI number 1346679404
LBN Legal business name Lyddane, Mollie
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2013
Last updated Nov 8th, 2013 - about 11 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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