Individual
DR. SUSAN ELIZABETH LILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
183 TALCOTT ROAD, SUITE 206, WILLISTON, VT 05495
(802) 876-1100
(802) 876-1101
Mailing address
183 TALCOTT ROAD, SUITE 206, WILLISTON, VT 05495
(802) 876-1100
(802) 876-1101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0480000823
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009536
—
VT
Enumeration date
11/29/2006
Last updated
07/08/2007
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