Healthcare Provider Details

I. General information

NPI: 1124246640
Provider Name (Legal Business Name): MARY K. HILL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2007
Last Update Date: 11/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E CAMPUS VIEW BLVD SUITE 220
COLUMBUS OH
43235-5691
US

IV. Provider business mailing address

1 E CAMPUS VIEW BLVD SUITE 220
COLUMBUS OH
43235-5691
US

V. Phone/Fax

Practice location:
  • Phone: 614-847-9008
  • Fax:
Mailing address:
  • Phone: 614-847-9008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number5490
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number5490
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number5490
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number5490
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: