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NPI Code Detail

MEDICARE: DR. MELANIE LAUREL HILL PHD

MEDICARE: DR. MELANIE LAUREL HILL PHD
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 Psychologist024881NY

General Provider Information

NPI Number : 1790426385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELANIE LAUREL HILL PHD
Provider Business Mailing Address
First Line : 256 LA RAMBLA
Second Line :
City : SAN CLEMENTE
State : CA
Zip : 92672-5427
Country : US
Telephone Number : 530-591-3214
Fax Number :
Provider Business Practice Location Address
First Line : 397 BRIDGE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5292
Country : US
Telephone Number : 949-506-0011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 02/02/2023

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