Wiede, Lydia
Wiede, Lydia is an sole proprietor health care provider with primary practice located at 441 S Illinois Ave , Villa Park IL 60181-2959. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wiede, Lydia can be contacted via phone (630) 247-5478.Contact Information
Primary practice address
441 S Illinois Ave
Villa Park IL 60181-2959
Phone: (630) 247-5478
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180.009004 | Illinois |
Profile Details
| NPI number | 1164827655 |
|---|---|
| LBN Legal business name | Wiede, Lydia |
| Credentials | PHD, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2014 |
| Last updated | Oct 27th, 2014 - about 10 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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