| Diane Hill, Ph.d. | |
|
4505 S Wasatch Blvd Suite 360 Salt Lake City UT 84124-4709 | |
| (801) 440-2430 | |
| (801) 272-0906 |
| Full Name | Diane Hill, Ph.d. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4505 S Wasatch Blvd, Salt Lake City, Utah |
| Authorized Official Name and Position | Diane Hill (OWNER) |
| Authorized Official Contact | 8014402430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Hill, Ph.d. 4505 S Wasatch Blvd Suite 360 Salt Lake City UT 84124-4709 Ph: (801) 440-2430 | Diane Hill, Ph.d. 4505 S Wasatch Blvd Suite 360 Salt Lake City UT 84124-4709 Ph: (801) 440-2430 |
| NPI Number | 1962742783 |
|---|---|
| Provider Enumeration Date | 02/15/2013 |
| Last Update Date | 02/15/2013 |
| Medicare PECOS PAC ID | 4587804141 |
|---|---|
| Medicare Enrollment ID | O20130703000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962742783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 116752-2501 (Utah) | Primary |
| Provider Name | Diane Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710045679 PECOS PAC ID: 9436166170 Enrollment ID: I20060321000420 |
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