David C Lilly in Freeport - Clinical

David C Lilly - NPI 1467589986

David C Lilly is a Clinical in Freeport, Maine. David C Lilly practices all healthcare services and medical treatments related to Clinical. The NPI Number for David C Lilly is 1467589986. The last update date is 2007-07-08.

David C Lilly's current location address is 174 S Freeport Rd # 2e, Freeport, Maine. You can contact this provider via phone number 2078659692 and fax number 2078659241. The mailing address for David C Lilly is 174 S Freeport Rd # 2e, Freeport, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name David C Lilly
Address 174 S Freeport Rd # 2e, Freeport, Maine
Phone Number 2078659692
Fax Number 2078659241
Sole Proprietor Y
Credentials PSYD

NPI Number Detail

NPI Number 1467589986
Provider Enumeration Date 2007-02-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 174 S Freeport Rd # 2e
City Freeport
State Maine (ME)
Post Code 40326145
Phone Number 2078659692
Fax Number 2078659241

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PS107
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39291 ME ANTHEM
328740099 ME --

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FAQs about David C Lilly

What is the unique 10-digit identification code issued to David C Lilly by the Centers for Medicare & Medicaid Services?

The David C Lilly has been assigned the NPI (National Provider Identifier) 1467589986 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where David C Lilly's facilities are situated?

The facilities of David C Lilly are physically located at the following address: 174 S Freeport Rd # 2E, Freeport, ME, 40326145.

What is David C Lilly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for David C Lilly is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date was the 1467589986 assigned to David C Lilly?

The David C Lilly was issued its 1467589986 on 2007-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to David C Lilly most recently updated or refreshed?

The details pertaining to the David C Lilly, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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