Healthcare Provider Details

I. General information

NPI: 1609894633
Provider Name (Legal Business Name): HEATHER R HILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 03/17/2026
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 N BALLAS RD DEPT PSYCHIATRY, STE 141A
SAINT LOUIS MO
63131-2322
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-286-1700
  • Fax: 314-627-7225
Mailing address:
  • Phone: 314-286-1700
  • Fax: 314-627-7225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2011035206
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: