Dr. Jeanne M. Lilly PHD
Psychologist in Clarksdale, MS(View on Map)
Full Name
Dr. Jeanne Mariah Lilly PHD
NPI Number
1457120545
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/29/2023
Specialties
(Taxonomies)Licenses
State
Mississippi
License Number
621115
Contact
Information
Purpose
Mailing
Location
Address
785 OHIO AVE STE 3E
785 OHIO AVE STE 3E
City
Clarksdale
Clarksdale
State
MS
MS
Postal Code
38614-6215
38614-6215
Country
US
US
Telephone Number
(662) 351-0702
(662) 351-0702
Identifiers
Identifier
200010527
Identifier State
MS
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/07/2024