| Lily Psychological Consultation Inc. | |
|
2183 W Paseo Del Mar San Pedro CA 90732-4556 | |
| (415) 273-9233 | |
| Not Available |
| Full Name | Lily Psychological Consultation Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2183 W Paseo Del Mar, San Pedro, California |
| Authorized Official Name and Position | Katherine Taylor (PRINCIPAL) |
| Authorized Official Contact | 4152739233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Psychological Consultation Inc. 454 Las Gallinas Ave # 1096 San Rafael CA 94903-3618 Ph: (415) 273-9233 | Lily Psychological Consultation Inc. 2183 W Paseo Del Mar San Pedro CA 90732-4556 Ph: (415) 273-9233 |
| NPI Number | 1013658368 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013658368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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