MEDICARE: ERICA L. HILL PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PY6380	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	54811	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1013108083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA L. HILL PH.D.

Provider Business Mailing Address
First Line	:	1975 E SUNRISE BLVD
Second Line	:	SUITE 534
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-1433
Country	:	US
Telephone Number	:	954-232-6882
Fax Number	:

Provider Business Practice Location Address
First Line	:	1975 E SUNRISE BLVD
Second Line	:	SUITE 534
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-1433
Country	:	US
Telephone Number	:	954-232-6882
Fax Number	:	954-760-4358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	06/11/2009

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