ELISE LILLARD IPOCK M.S.
NPI 1730357179
Psychologist - Intellectual and Developmental Disabilities in West Lafayette, IN
Active since February 19, 2008
About Elise Lillard Ipock M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE LILLARD IPOCK M.S. (NPI 1730357179) is an individual intellectual and developmental disabilities provider in West Lafayette, Indiana and active in the NPI registry since February 2008.
NPPES Registry Identity
NPI1730357179
Entity TypeIndividualFemale
Primary Taxonomy103TM1800X
Provider Legal NameELISE LILLARD IPOCKCredential: M.S.
Location Address414 HARRISON STWest Lafayette, IN 47906-3516
Mailing Address414 Harrison StWest Lafayette, IN 47906-3516
Phone(765) 743-4639
Sole ProprietorNo
Enumeration DateFebruary 19, 2008
✔ NPI 1730357179 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
414 HARRISON ST, West Lafayette, IN 47906
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730357179, enumerated as an "individual" on February 19, 2008.
The provider is located at 414 HARRISON ST WEST LAFAYETTE, IN 47906 and the phone number is (765) 743-4639.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.
