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Individual
DR. MOLLIE LYDDANE
Active
Individual
DR. MOLLIE LYDDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 24783
CA
103TA0700X
Adult Development & Aging Psychologist
PSY 24783
CA
103TC0700X
Clinical Psychologist
PSY 24783
CA
103TE1100X
Exercise & Sports Psychologist
PSY 24783
CA
103TH0004X
Health Psychologist
PSY 24783
CA
103TH0100X
Health Service Psychologist
PSY 24783
CA
103TR0400X
Rehabilitation Psychologist
PSY 24783
CA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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