Individual
COLLEEN LILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 293-2411
Mailing address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 293-2411
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1156
WV
Other
Enumeration date
01/25/2017
Last updated
04/08/2022
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