Individual provider · Type 1 NPI

Morgan Rae Lidy

Developmental Therapist · Dieterich, IL

NPI number 1164026662 Active

Practice location

208 S Main St
Dieterich, IL 62424-1123

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1164026662

Morgan Rae Lidy's National Provider Identifier is 1164026662, issued on Nov 24, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Dieterich, IL. The record was last updated on Nov 24, 2020.