MEDICARE: MR. BARRETT ANTHONY HILL MS, 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 35889	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	71	OTHER	CA	SAN DIEGO COUNTY MENTAL H

General Provider Information

NPI Number	:	1639279482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BARRETT ANTHONY HILL MS, MFT

Provider Business Mailing Address
First Line	:	3142 VISTA WAY STE 205
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-3628
Country	:	US
Telephone Number	:	760-758-1480
Fax Number	:	760-435-9472

Provider Business Practice Location Address
First Line	:	3142 VISTA WAY STE 205
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-3628
Country	:	US
Telephone Number	:	760-758-1480
Fax Number	:	760-435-9472

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/08/2007

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