=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942364088
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MATTHEW JOSEPH HILFER PH.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/21/2006
-----------------------------------------------------
Last Update Date | 08/18/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 151 ORCHARDVIEW RD
-----------------------------------------------------
City | SEVEN HILLS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 554-376-7798
-----------------------------------------------------
Fax | 330-840-7496
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 151 ORCHARDVIEW RD
-----------------------------------------------------
City | SEVEN HILLS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44131-5836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-437-6779
-----------------------------------------------------
Fax | 330-840-7496
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 5730
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | 5730
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------