Individual
DR. RACHEL GERMAN LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2700 LAFAYETTE ST, FORT WAYNE, IN 46806-1100
(260) 481-2770
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043482A
IN
103T00000X
Psychologist
PS018570
PA
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
06/01/2017
Last updated
10/17/2022
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