| Lily Bollinger Psyd Llc | |
|
1 Eves Dr Ste 146 Marlton NJ 08053-3125 | |
| (856) 701-6446 | |
| (856) 596-7299 |
| Full Name | Lily Bollinger Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1 Eves Dr Ste 146, Marlton, New Jersey |
| Authorized Official Name and Position | Lily Bollinger (OWNER) |
| Authorized Official Contact | 8567016446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Bollinger Psyd Llc 1 Eves Dr Ste 146 Marlton NJ 08053-3125 Ph: (856) 701-6446 | Lily Bollinger Psyd Llc 1 Eves Dr Ste 146 Marlton NJ 08053-3125 Ph: (856) 701-6446 |
| NPI Number | 1255855185 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7517230071 |
|---|---|
| Medicare Enrollment ID | O20170905001159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255855185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | NJ4003 (New Jersey) | Primary |
| Provider Name | Lily Bollinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649369497 PECOS PAC ID: 0042408288 Enrollment ID: I20110103000693 |
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