MEDICARE: DAVID HILL

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	106H00000X	Marriage & Family Therapist	35001489A	IN
2	106H00000X	Marriage & Family Therapist	F.1600004	OH

General Provider Information

NPI Number	:	1407944242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID HILL

Provider Business Mailing Address
First Line	:	601 S EDWIN C MOSES BLVD 4TH FLOOR NW BLDG
Second Line	:	SAMARITAN BEHAVIORAL HEALTH INC.
City	:	DAYTON
State	:	OH
Zip	:	45417-3424
Country	:	US
Telephone Number	:	937-734-8333
Fax Number	:	937-734-4343

Provider Business Practice Location Address
First Line	:	601 S EDWIN C MOSES BLVD
Second Line	:	SAMARITAN BEHAVIORAL HEALTH, INC.
City	:	DAYTON
State	:	OH
Zip	:	45417-3424
Country	:	US
Telephone Number	:	765-983-8000
Fax Number	:	765-983-8609

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	06/30/2016

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Directions to “ DAVID HILL ” Practice Location

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