Healthcare Provider Details

I. General information

NPI: 1376611475
Provider Name (Legal Business Name): FIONA F HILL PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 COMMERCE DR SUITE 903
DECATUR GA
30030-2627
US

IV. Provider business mailing address

PO BOX 2609
DECATUR GA
30031-2609
US

V. Phone/Fax

Practice location:
  • Phone: 404-638-5291
  • Fax: 404-638-5293
Mailing address:
  • Phone: 404-638-5291
  • Fax: 404-638-5293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2436
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number2436
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number2436
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2436
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number2436
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number2436
License Number StateGA
# 7
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number2436
License Number StateGA
# 8
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number2436
License Number StateGA
# 9
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number2436
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: