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Contact Information

JEFFREY J LILLE, PHD
1264 HIGUERA ST
SUITE 201
SAN LUIS OBISPO, CA93401-3124
 Phone: 805-550-3162
 Fax: 805-474-1521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEFFREY J LILLE · (Male)

NPI Number 1124225628
Status Active
Credentials PHD
Entity Individual
Enumeration date 06/28/2007
Last updated 06/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY9831
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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