Individual
DR. RICHARD P LILLARD
Active
Individual
DR. RICHARD P LILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2006033324
MO
103TC1900X
Counseling Psychologist
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497174508
—
MO
Enumeration date
10/05/2006
Last updated
04/29/2019
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