MEDICARE: KATHRYN HILL LMFT

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	25653	CA

General Provider Information

NPI Number	:	1336443852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN HILL LMFT

Provider Business Mailing Address
First Line	:	3960 KENTWOOD CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-1824
Country	:	US
Telephone Number	:	775-232-4554
Fax Number	:	530-582-6278

Provider Business Practice Location Address
First Line	:	2810 LAKE FOREST RD.
Second Line	:
City	:	TAHOE CITY
State	:	CA
Zip	:	96145
Country	:	US
Telephone Number	:	775-232-4554
Fax Number	:	530-582-6278

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

Provider Enumeration Date	:	12/23/2010
Last Update Date	:	09/22/2011

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