MEDICARE: DR. MELISSA DEE HILLER 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	103TC0700X	Clinical Psychologist	833	HI

General Provider Information

NPI Number	:	1235114034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA DEE HILLER PH.D.

Provider Business Mailing Address
First Line	:	9300 DEWITT LOOP
Second Line	:
City	:	FORT BELVOIR
State	:	VA
Zip	:	22060
Country	:	US
Telephone Number	:	703-805-0113
Fax Number	:

Provider Business Practice Location Address
First Line	:	9300 DEWITT LOOP
Second Line	:
City	:	FORT BELVOIR
State	:	VA
Zip	:	22060
Country	:	US
Telephone Number	:	703-805-0113
Fax Number	:

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

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	08/08/2024

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