| Dr Anthony Ezra Lilly, PSYD, HSPP | |
|
753 N State St, North Vernon, IN 47265-1044 | |
| (812) 346-7744 | |
| (812) 346-3815 |
| Full Name | Dr Anthony Ezra Lilly |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 753 N State St, North Vernon, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669586517 | NPI | - | NPPES |
| 050571023 | Other | IN | FED TAX IDENTIFICATION |
| 200805260A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20042033A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Ezra Lilly, PSYD, HSPP 753 N State St, North Vernon, IN 47265-1044 Ph: (812) 346-7744 | Dr Anthony Ezra Lilly, PSYD, HSPP 753 N State St, North Vernon, IN 47265-1044 Ph: (812) 346-7744 |
Leonard Ezekiel Miller, PSY.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 257 E Main St, North Vernon, IN 47265 Phone: 812-346-2872 Fax: 812-346-4172 | |
Dr. Jason Holland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 753 N State St, North Vernon, IN 47265 Phone: 812-346-7744 Fax: 812-346-3815 | |
Gina L Bentz, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1260 E Buckeye St, North Vernon, IN 47265 Phone: 812-346-4468 Fax: 812-378-8367 | |
Dr. Robert E Dailey, PSY.D., H.S.P.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 257 E Main St, North Vernon, IN 47265 Phone: 812-346-2872 Fax: 812-346-4172 |