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General NPI Number Information
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NPI Number | 1790299287
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Entity Type | Organization
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Legal Business Name | STEPHANY L. HILLMAN, PH.D., LLC
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 11/13/2022
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Provider Practice Location Address
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Address Line | 6522 W MAIN ST
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City | HOUMA
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State | LA
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Zip | 70360-2267
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Country | US
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Telephone | 985-804-1521
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Fax |
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Provider Business Mailing Address
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Address Line | 1817 HARVEST DR
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City | HOUMA
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State | LA
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Zip | 70360-5909
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Country | US
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Telephone | 985-804-1521
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Fax | 504-636-3923
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHANY L HILLMAN
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Credential | PH.D.
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Telephone | 985-804-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1168
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number |
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License Number State |
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