Lydia Shull
NPI #1003485467 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1003485467
- Entity Type
- Individual
- Name
- Lydia Shull
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 21, 2021
- Last Updated
- Jun 21, 2021
Practice Location
- Address
- 3333 UNIVERSITY AVE SE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55414-3325
- Phone
- (612) 331-9413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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