MEDICARE: MS. JUDITH L HILL-WELD M.S., MFT

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	106H00000X	Marriage & Family Therapist	MFC 38526	CA

General Provider Information

NPI Number	:	1295903581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDITH L HILL-WELD M.S., MFT

Provider Business Mailing Address
First Line	:	PO BOX 1891
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-1891
Country	:	US
Telephone Number	:	530-265-9450
Fax Number	:	530-265-9460

Provider Business Practice Location Address
First Line	:	101 PROVIDENCE MINE RD
Second Line	:	SUITE 106B
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-2939
Country	:	US
Telephone Number	:	530-265-9450
Fax Number	:	530-265-9460

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

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	02/20/2008

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