| Anthony E Lilly Psyd Psychology Services | |
|
753 N State St North Vernon IN 47265-1044 | |
| (812) 346-7744 | |
| Not Available |
| Full Name | Anthony E Lilly Psyd Psychology Services |
|---|---|
| Speciality | Psychologist |
| Location | 753 N State St, North Vernon, Indiana |
| Authorized Official Name and Position | Anthony E Lilly (OWNER) |
| Authorized Official Contact | 8123467744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony E Lilly Psyd Psychology Services 5310 Ward Road Suite 106 Arvada CO 80002-1829 Ph: (303) 278-7418 | Anthony E Lilly Psyd Psychology Services 753 N State St North Vernon IN 47265-1044 Ph: (812) 346-7744 |
| NPI Number | 1568764066 |
|---|---|
| Provider Enumeration Date | 12/03/2010 |
| Last Update Date | 03/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568764066 | NPI | - | NPPES |
| 200805260A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20042033A (Indiana) | Primary |
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