Healthcare Provider Details

I. General information

NPI: 1295948180
Provider Name (Legal Business Name): DONNA J. HILTON PH. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3608 LANCASTER PIKE
WILMINGTON DE
19805-1509
US

IV. Provider business mailing address

3608 LANCASTER PIKE
WILMINGTON DE
19805-1509
US

V. Phone/Fax

Practice location:
  • Phone: 302-995-9600
  • Fax: 302-995-9571
Mailing address:
  • Phone: 302-995-9600
  • Fax: 302-995-9571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB1-0000659
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberB1-0000659
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberB1-0000659
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number0000659
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0000659
License Number StateDE
# 6
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberB1-0000659
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: