DR. Anthony Ezra Lilly, PSY.D., H.S.P.P.

NPI #1669586517 in North Vernon, Indiana

Provider Information

NPI Number: 1669586517
Entity Type: Individual
Name: DR. Anthony Ezra Lilly, PSY.D., H.S.P.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D., H.S.P.P.
Enumeration Date: Aug 18, 2006
Last Updated: Jul 1, 2014

Practice Location

Address: 753 N STATE ST
City: North Vernon
State: Indiana
ZIP Code: 47265-1044
Phone: (812) 346-7744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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Organizations

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