Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Morgan Rae Lidy

Individual provider Developmental Therapist · NPI 1164026662

Morgan Rae Lidy is a Developmental Therapist in Dieterich, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

208 S Main St
Dieterich, IL 62424-1123
Phone: (217) 821-7694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1164026662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 24, 2020
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020

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