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General NPI Number Information
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NPI Number | 1538349410
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Entity Type | Organization
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Legal Business Name | HILL PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 3141 WILLOWCREEK RD SUITE F
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City | PORTAGE
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State | IN
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Zip | 46368-4468
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Country | US
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Telephone | 219-763-6100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2656
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City | PORTAGE
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State | IN
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Zip | 46368-6156
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Country | US
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Telephone | 219-763-6100
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LINDA L HILL
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Credential | PSY.D.
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Telephone | 219-763-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20041450A
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License Number State | IN
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