Healthcare Provider Details

I. General information

NPI: 1730238163
Provider Name (Legal Business Name): AUSTIN C HILL PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 FRANKLIN ST
HAWORTH NJ
07641-1413
US

IV. Provider business mailing address

253 FRANKLIN ST
HAWORTH NJ
07641-1413
US

V. Phone/Fax

Practice location:
  • Phone: 201-387-1491
  • Fax:
Mailing address:
  • Phone: 201-387-1491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35S100139100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: