Dr Lillie Beatrice Huddleston, PHD is a
Psychologist - Clinical Child & Adolescent based in Scottdale, Georgia. Dr Lillie Beatrice Huddleston is licensed to practice in Georgia (license number PSY003967) and her current practice location is
610 Kentucky St, Scottdale, Georgia. She can be reached at her office (for appointments etc.) via phone at
(470) 672-6568.
NPI number for Dr Lillie Beatrice Huddleston is 1902658990 and her current mailing address is 610 Kentucky St, Scottdale, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902658990.
Healthcare Provider's Profile
| Full Name | Dr Lillie Beatrice Huddleston |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 610 Kentucky St, Scottdale, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902658990
- Provider Enumeration Date: 04/03/2024
- Last Update Date: 10/08/2025
Medical Identifiers
Medical identifiers for Dr Lillie Beatrice Huddleston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902658990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PSY003967 (Georgia) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY003967 (Georgia) | Primary |
| 103TS0200X | Psychologist - School | PSY003967 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lillie Beatrice Huddleston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lillie Beatrice Huddleston, PHD
610 Kentucky St,
Scottdale, GA 30079-1124
Ph: (470) 672-6568 | Dr Lillie Beatrice Huddleston, PHD
610 Kentucky St,
Scottdale, GA 30079-1124
Ph: (470) 672-6568 |
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