Individual
DR. IVETT LILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2656 RIDEOUT LN, MURFREESBORO, TN 37128-7607
(615) 895-0710
Mailing address
2656 RIDEOUT LN, MURFREESBORO, TN 37128-7607
(615) 895-0710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2004013645
MO
101YP2500X
Professional Counselor
3359
TN
103TC0700X
Clinical Psychologist
Primary
3653
TN
Other
Enumeration date
07/24/2009
Last updated
11/10/2020
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