Healthcare Provider Details
I. General information
NPI: 1669727640
Provider Name (Legal Business Name): HOLLIE K DEAN-HILL PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/17/2012
Last Update Date: 10/12/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4 ALLEGHENY CTR FL 8
PITTSBURGH PA
15212-5255
US
IV. Provider business mailing address
4 ALLEGHENY CTR FL 8
PITTSBURGH PA
15212-5255
US
V. Phone/Fax
- Phone: 412-330-4000
- Fax: 412-330-4366
- Phone: 412-330-4000
- Fax: 412-330-4366
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PS018221 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: