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Contact Information

LYDIA J HAKER
1118 TWILIGHT DR
DE PERE, WI54115-1372
 Phone: 715-966-3596
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for LYDIA J HAKER · (Female)

NPI # 1245759190
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2017
Last updated 06/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 3537-226
  • WI License # 5213-17
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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