Doctor Name: | BENJAMIN COYLE HILLYARD |
NPI Number: | 1053408922 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED. LCMHC |
License Number: | 136 |
Business Practice Address: | 30 Linden St Exeter, NH - 038332622 |
Business Phone Number: | 6036865169 |
Business Fax Number: | 6036865008 |
Mailing Address: | 30 Linden St, EXETER |
State: | NH |
Postal Code: | 038332622 |
Phone Number: | 6036865169 |
Fax Number: | 6036865008 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |