Doctor Name: | COURTNEY ANNE HILL |
NPI Number: | 1902066137 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA-715 |
Business Practice Address: | 651 Memorial Dr Pocatello, ID - 832014071 |
Business Phone Number: | 2082392110 |
Business Fax Number: | 2082392136 |
Mailing Address: | 651 Memorial Dr, POCATELLO |
State: | ID |
Postal Code: | 832014071 |
Phone Number: | 2082392110 |
Fax Number: | 2082392136 |
NPI Enumeration Date: | 06/11/2008 |
NPI Last Update Date: | 06/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | PA-715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |