Healthcare Provider Details

I. General information

NPI: 1932049558
Provider Name (Legal Business Name): DYLAN THOMAS HILLMAN MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 LAKE AVE
WORCESTER MA
01604-5816
US

IV. Provider business mailing address

23 CASWELL CT
DOUGLAS MA
01516-2049
US

V. Phone/Fax

Practice location:
  • Phone: 508-868-8070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: