MEDICARE: DR. LISA W HILL PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	68 018233	NY
2	103TC0700X	Clinical Psychologist	1000582	DC
3	103TC0700X	Clinical Psychologist	05493	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05493	OTHER	MD	MARYLAND STATE

General Provider Information

NPI Number	:	1366779027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA W HILL PSY.D.

Provider Business Mailing Address
First Line	:	2530 RIVA RD STE 312
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7414
Country	:	US
Telephone Number	:	202-550-2762
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 RIVA RD STE 312
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7414
Country	:	US
Telephone Number	:	202-550-2762
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2009
Last Update Date	:	02/02/2026

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