Lillard, Richard P

Lillard, Richard P is an individual health care provider with primary practice located at 3405 W Truman Blvd Ste 101 , Jefferson City MO 65109-5861. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lillard, Richard P can be contacted via phone (573) 864-7868.

Contact Information

Primary practice address
3405 W Truman Blvd Ste 101 Jefferson City MO 65109-5861
Phone: (573) 864-7868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2006033324 Missouri

Profile Details

NPI number 1033205125
LBN Legal business name Lillard, Richard P
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033205125 NPPES
Missouri MEDICAID 497174508

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