David C Lilly, PSYD

NPI #1467589986 in Freeport, Maine

Provider Information

NPI Number: 1467589986
Entity Type: Individual
Name: David C Lilly, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Feb 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 174 S FREEPORT RD # 2E
City: Freeport
State: Maine
ZIP Code: 04032-6145
Phone: (207) 865-9692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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