Doctor Name: | MS. LORIE ELIZABETH HILL |
NPI Number: | 1073916078 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PSY8684 |
Business Practice Address: | 2 Anchor Dr #290 Emeryville, CA - 946081556 |
Business Phone Number: | 5106533565 |
Business Fax Number: | |
Mailing Address: | 2 Anchor Dr, # 290 EMERYVILLE |
State: | CA |
Postal Code: | 946081556 |
Phone Number: | 5106533565 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2014 |
NPI Last Update Date: | 10/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TP2701X |
License Number: | PSY8684 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Group Psychotherapy |
Taxonomy Definition: |