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Contact Information

MARTIN LILLYSTONE
4949 COOLIDGE HWY
ROYAL OAK, MI48073-1026
 Phone: 248-655-5900
 Fax: 248-655-5901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARTIN LILLYSTONE · (Male)

NPI # 1215105655
Status Active
Credentials
Entity Individual
Enumeration date 02/20/2008
Last updated 02/20/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers Not Available
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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