Weisman, Lydia F

Weisman, Lydia F is an individual health care provider with primary practice located at 4959 Utica Ridge Rd , Davenport IA 52807-3063. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Weisman, Lydia F can be contacted via phone (785) 313-0324.

Contact Information

Primary practice address
4959 Utica Ridge Rd Davenport IA 52807-3063
Phone: (785) 313-0324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-166374 Illinois

Profile Details

NPI number 1932877107
LBN Legal business name Weisman, Lydia F
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2021
Last updated Sep 2nd, 2021 - about 4 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 1932877107 NPPES
Illinois Other RBT-21-166374 BACB

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