Doctor Name: | DR. TRACY E HILL |
NPI Number: | 1114076338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., LPC, NCC |
License Number: | PC003726 |
Business Practice Address: | 18 W King St Malvern, PA - 193552400 |
Business Phone Number: | 6102467714 |
Business Fax Number: | |
Mailing Address: | 18 W King St, MALVERN |
State: | PA |
Postal Code: | 193552400 |
Phone Number: | 6102467714 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC003726 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |