Healthcare Provider Details

I. General information

NPI: 1922280288
Provider Name (Legal Business Name): SHELLIE HILL-WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1947 CENTER ST 2ND FLOOR
BERKELEY CA
94704-1169
US

IV. Provider business mailing address

1947 CENTER ST 2ND FLOOR
BERKELEY CA
94704-1169
US

V. Phone/Fax

Practice location:
  • Phone: 510-981-7684
  • Fax: 510-981-5345
Mailing address:
  • Phone: 510-981-7684
  • Fax: 510-981-5345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: