Provider Demographics
NPI:1316769946
Name:DEUSCHLE, LILLIAN
Entity type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:
Last Name:DEUSCHLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LILA
Other - Middle Name:
Other - Last Name:DEUSCHLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1 E PALISADES DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-1903
Mailing Address - Country:US
Mailing Address - Phone:501-413-8656
Mailing Address - Fax:
Practice Address - Street 1:136 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6711
Practice Address - Country:US
Practice Address - Phone:212-828-7473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health