| Doctor Name: | MRS. LYDIA ELLIS WEISSER |
| NPI Number: | 1043300825 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 19817 |
| Business Practice Address: | 1818 College Drive Meridian, MS - 393075429 |
| Business Phone Number: | 6015817592 |
| Business Fax Number: | 6014835543 |
| Mailing Address: | Po Box 4128, MERIDIAN |
| State: | MS |
| Postal Code: | 393044128 |
| Phone Number: | 6015817592 |
| Fax Number: | 6014835543 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 12/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283Q00000X |
| License Number: | 19817 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Psychiatric Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |