Female

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)

Code

103T00000X

Primary Taxonomy

Yes

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

Provider Address

Other Psychologist in Clarksdale, Mississippi:

Female

Michele Carroll

Clarksdale, MS

Specialty: Psychologist (Primary)