National Provider Identifier
Lilly Jay
Lilly Jay is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Ithaca, NY and a listed phone number of (607) 260-3100.
Profile Overview
- NPI
- 1548871767
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- August 11, 2020
- Last Updated
- August 22, 2023
Practice Location
- 950 Danby RD
- Ithaca, NY 14850-5778
Phone: (607) 260-3100
Specialties
- Clinical Psychologist (103TC0700X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1548871767
- Entity Type
- Individual
- Last Name
- Jay
- First Name
- Lilly
- Mailing Street Address
- 950 Danby RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5778
- Mailing Country
- US
- Mailing Phone
- (607) 260-3100
- Practice Street Address
- 950 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5778
- Practice Country
- US
- Practice Phone
- (607) 260-3100
- Enumeration Date
- August 11, 2020
- Last Updated
- August 22, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 22, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X), Student in an Organized Health Care Education/Training Program (390200000X)