Individual
LILY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
45 CREEKSIDE LN UNIT 238, MALVERN, PA 19355-3269
(401) 524-7172
Mailing address
45 CREEKSIDE LN UNIT 238, MALVERN, PA 19355-3269
(401) 524-7172
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
023306
NY
103T00000X
Psychologist
2018015694
MO
103T00000X
Psychologist
Primary
PS019189
PA
Other
Enumeration date
04/15/2019
Last updated
01/09/2021
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