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Contact Information

DAVID C LILLY, PSYD
174 S FREEPORT RD # 2E
FREEPORT, ME04032-6145
 Phone: 207-865-9692
 Fax: 207-865-9241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DAVID C LILLY · (Male)

NPI Number 1467589986
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 02/28/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # PS107
  • ME Medicaid 328740099
  • ME Other 039291 ANTHEM
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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