SearchIllinois101YM0800X

Lydia Wiede, PHD, LCPC

NPI 1164827655 · on the registry since 2014 · sole proprietor

Practice

Address
441 S Illinois Ave
Villa Park, IL 60181
Phone
(630) 247-5478

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois