Healthcare Provider Details

I. General information

NPI: 1750741435
Provider Name (Legal Business Name): CATHERINE HILLMAN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2016
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 MARYLAND RD STE 130
WILLOW GROVE PA
19090-1223
US

IV. Provider business mailing address

2500 MARYLAND RD STE 130
WILLOW GROVE PA
19090-1223
US

V. Phone/Fax

Practice location:
  • Phone: 267-818-2220
  • Fax: 484-636-2598
Mailing address:
  • Phone: 267-818-2220
  • Fax: 484-636-2598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS017931
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: