Healthcare Provider Details

I. General information

NPI: 1902716624
Provider Name (Legal Business Name): GIANNA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 E 98TH ST STE 107
CARMEL IN
46280-1973
US

IV. Provider business mailing address

5717 DURHAM CASTLE CT APT 328
INDIANAPOLIS IN
46250-5625
US

V. Phone/Fax

Practice location:
  • Phone: 463-273-2093
  • Fax:
Mailing address:
  • Phone: 906-221-5732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810009131
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: