Individual
JOANNA LIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
125 E FRANKLIN ST, ELKHART, IN 46516-3609
(574) 520-4000
Mailing address
125 E FRANKLIN ST, ELKHART, IN 46516-3609
(574) 520-4000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002813A
IN
Other
Enumeration date
08/14/2014
Last updated
09/30/2022
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