MEDICARE: LYDIA HILL

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	106S00000X	Behavior Technician		PA

General Provider Information

NPI Number	:	1396692042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYDIA HILL

Provider Business Mailing Address
First Line	:	1336 ARROTT ST APT C8
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1336 ARROTT ST APT C8
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3247
Country	:	US
Telephone Number	:	267-275-6428
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ LYDIA HILL ” Practice Location

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