Active NPIIndividual providerSole proprietor

David C Lilly, PSYD

Psychologist, Clinical in Freeport, Maine

NPI Number1467589986
Practice location
174 S Freeport RD # 2E, Freeport, ME 04032-6145
Fax
207-865-9241
Last updated
July 8, 2007

David C Lilly is a Psychologist, Clinical based in Freeport, ME. David C Lilly practices in Freeport, ME and has the professional credentials of PSYD. The NPI Number for David C Lilly is 1467589986 and holds a License No. ps107 (ME). The current practice location address for David C Lilly is 174 S Freeport RD # 2E, Freeport, ME 04032-6145 and can be reached out via phone at 207-865-9692 and via fax at 207-865-9241.

Provider Profile Details

NPI Number
1467589986
Provider Name
David C Lilly
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
174 S Freeport RD # 2E, Freeport, ME 04032-6145
Phone Number
207-865-9692
Fax Number
207-865-9241
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 28, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
174 S Freeport RD # 2E
Freeport, ME 04032-6145
State
Maine
Zip
04032-6145
Phone Number
207-865-9692
Fax Number
207-865-9241
Freeport, ME 04032Get directions →

Provider Business Mailing Address Details

Address
174 S Freeport RD # 2E
Freeport, ME 04032-6145
City
Freeport
State
ME
Zip
04032-6145
Phone Number
207-865-9692
Fax Number
207-865-9241

License Information

License Number
ps107
License State
ME
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of David C Lilly, PSYD?

The NPI number of David C Lilly, PSYD is 1467589986. It was assigned on February 28, 2007 and is currently active in the NPPES registry.

What is the specialty of David C Lilly, PSYD?

David C Lilly, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in ME under license number ps107.

Where does David C Lilly, PSYD practice?

The practice location is 174 S Freeport RD # 2E, Freeport, ME 04032-6145. The office can be reached at 207-865-9692 (phone) or 207-865-9241 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467589986 directly on the NPPES registry website.

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