Lilian Ezereth Allen

Individual provider Active NPI Psychologist · Billerica, MA

NPI 1639698798 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1639698798
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
Practice address
51 Shawsheen Rd
Billerica, MA 01821-5710
Phone
(617) 291-9215
NPI assigned
Sep 10, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
I-Corp Services Inc Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Yes

Addresses

Primary practice location

51 Shawsheen Rd
Billerica, MA 01821-5710

Mailing address

51 Shawsheen Road
Billerica, MA 01821
Phone (617) 291-9215

Other providers in Billerica, MA

All providers in Billerica, MA · Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.