Healthcare Provider Details
I. General information
NPI: 1023165222
Provider Name (Legal Business Name): CURTIS L HILL PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1921 W 546 S
CEDAR CITY UT
84720-2878
US
IV. Provider business mailing address
1921 W 546 S
CEDAR CITY UT
84720-2878
US
V. Phone/Fax
- Phone: 435-865-8225
- Fax:
- Phone: 435-865-8225
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | 5618748-2501 |
| License Number State | UT |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 107043434101 |
| Identifier Type | OTHER |
| Identifier State | UT |
| Identifier Issuer | IHC, MEDICARE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: