Individual
MS. LILLIAN DE PETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1729 21ST ST NW, WASHINGTON, DC 20009-1101
(202) 234-0903
Mailing address
1729 21ST ST NW, WASHINGTON, DC 20009-1101
(202) 234-0903
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1000892
DC
Other
Enumeration date
10/25/2012
Last updated
01/15/2019
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