Individual provider · Type 1 NPI

Jeffrey Jay Lille, PhD

Clinical Psychologist · San Luis Obispo, CA

NPI number 1124225628 Active

Practice location

1264 Higuera St, Suite 201
San Luis Obispo, CA 93401-3124

Fax (805) 474-1521

Mailing address

PO Box 1670
Arroyo Grande, CA 93421-1670

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY9831 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1124225628

Jeffrey Jay Lille, PhD's National Provider Identifier is 1124225628, issued on Jun 28, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jun 24, 2020.