Individual
LILY M RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
648 WESTERN DR, SANTA CRUZ, CA 95060-3058
(831) 325-8838
Mailing address
648 WESTERN DR, SANTA CRUZ, CA 95060-3058
(831) 325-8838
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY25638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NO NUMBER
PRE-DOCTORAL INTERN
CA
Enumeration date
05/20/2009
Last updated
11/08/2024
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