Healthcare Provider Details

I. General information

NPI: 1134422447
Provider Name (Legal Business Name): GRETCHEN JONES HILL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 04/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 ROGER BROOKE DR
FORT SAM HOUSTON TX
78234-4504
US

IV. Provider business mailing address

3551 ROGER BROOKE DR
SAN ANTONIO TX
78234-4504
US

V. Phone/Fax

Practice location:
  • Phone: 210-424-8977
  • Fax: 210-536-6385
Mailing address:
  • Phone: 210-424-8977
  • Fax: 210-536-6385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number34238
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: