Individual
MS. DEBRA LYNN LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
24 MALLARD CT, BECKLEY, WV 25801-3664
(304) 252-8409
(304) 252-0022
Mailing address
PO BOX 1025, BECKLEY, WV 25802-1025
(304) 252-8409
(304) 252-0022
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
563
WV
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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