MEDICARE: MS. PAMELA A. HILER MA

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	101YM0800X	Mental Health Counselor	LC1759	MD
2	101YM0800X	Mental Health Counselor	PRC893	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LC1759	OTHER	MD	LCPC
2	PRC893	OTHER	DC	LPC

General Provider Information

NPI Number	:	1215130711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAMELA A. HILER MA

Provider Business Mailing Address
First Line	:	3951 19TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-3027
Country	:	US
Telephone Number	:	301-792-8764
Fax Number	:

Provider Business Practice Location Address
First Line	:	3951 19TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-3027
Country	:	US
Telephone Number	:	301-792-8764
Fax Number	:

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

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	07/08/2007

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