Healthcare Provider Details

I. General information

NPI: 1407066202
Provider Name (Legal Business Name): CHRISTINA ANN HILL M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA ANN DEBRULER M.A.

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3629 CHURCH ST
COVINGTON KY
41015-1430
US

IV. Provider business mailing address

376 WEXFORD DR
WALTON KY
41094-8376
US

V. Phone/Fax

Practice location:
  • Phone: 859-581-8974
  • Fax: 859-581-9595
Mailing address:
  • Phone: 859-485-1073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: