Anthony Ezra Lilly in North Vernon - Psychologist
Anthony Ezra Lilly - NPI 1669586517
Anthony Ezra Lilly is a Psychologist in North Vernon, Indiana. Anthony Ezra Lilly practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Anthony Ezra Lilly is 1669586517. The last update date is 2014-07-01.
Anthony Ezra Lilly's current location address is 753 N State St, North Vernon, Indiana. You can contact this provider via phone number 8123467744 and fax number 8123463815. The mailing address for Anthony Ezra Lilly is 753 N State St, North Vernon, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Ezra Lilly |
|---|---|
| Address | 753 N State St, North Vernon, Indiana |
| Phone Number | 8123467744 |
| Fax Number | 8123463815 |
| Sole Proprietor | Y |
| Credentials | PSY.D., H. |
NPI Number Detail
| NPI Number | 1669586517 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2014-07-01 |
Provider Mailing Address Detail
| Address | 753 N State St |
|---|---|
| City | North Vernon |
| State | Indiana (IN) |
| Post Code | 472651044 |
| Phone Number | 8123467744 |
| Fax Number | 8123463815 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 20042033A |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50571023 | IN | FED TAX IDENTIFICATION | |
| 200805260A | IN | -- |
Post Comment/ Review Below
What is the Anthony Ezra Lilly's unique identification number?
The Anthony Ezra Lilly has been assigned the NPI (National Provider Identifier) Number 1669586517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Anthony Ezra Lilly's physical address?
The Anthony Ezra Lilly is physically located at 753 N State St, in the city of North Vernon, IN, with the postal code 472651044.
What is Anthony Ezra Lilly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Anthony Ezra Lilly is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669586517 to Anthony Ezra Lilly?
The Centers for Medicare & Medicaid Services originally issued the 1669586517 to Anthony Ezra Lilly on 2006-08-18.
When was the information pertaining to Anthony Ezra Lilly most recently updated or revised?
The details related to Anthony Ezra Lilly, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-01.
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