David C Lilly, PsyD
Psychologist, Clinical in Freeport, ME. Individual provider (NPI-1).
NPI number1467589986
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1467589986
- Entity type
- Individual (NPI-1)
- Name
- David C Lilly
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | ps107 | ME | Yes |
Practice location
174 S Freeport Rd # 2eFreeport, ME 04032-6145
Phone 207-865-9692 · Fax 207-865-9241
Mailing address
174 S Freeport Rd # 2eFreeport, ME 04032-6145
Phone 207-865-9692 · Fax 207-865-9241
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Other Clinical Psychologist providers in Freeport, ME
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All 5 Clinical Psychologist providers in Freeport · All 232 providers in Freeport
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