Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MORGAN RAE LIDY
Active Sole ProprietorMORGAN RAE LIDY is a Developmental Therapist healthcare provider located in DIETERICH, Illinois. NPI 1164026662 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · DIETERICH, IL
Registration Details
- NPI Number
- 1164026662
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2020 (5.7348048659357 yrs)
- Last Updated
- Nov 24, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 S MAIN STDIETERICH, IL, 624241123Browse IL providers · Browse ZIP 62424
- Phone
- 2178217694
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in DIETERICH, IL
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE SHADLE | — | 1750507422 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.