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NPI Code Detail

MEDICARE: DR. CAROL BARBARA HILLMANN PSY.D.

MEDICARE:  DR. CAROL BARBARA HILLMANN  PSY.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
1103TC0700XClinical Psychologist20041965AIN
2103TC0700XClinical PsychologistPY60996005WA

General Provider Information

NPI Number : 1326121781
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL BARBARA HILLMANN PSY.D.
Provider Business Mailing Address
First Line : 107 S DIVISION ST
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1510
Country : US
Telephone Number : 509-838-4651
Fax Number : 509-363-2762
Provider Business Practice Location Address
First Line : 124 E SHORT AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1555
Country : US
Telephone Number : 509-838-4651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2006
Last Update Date : 10/21/2019

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