| Stephany L. Hillman, Ph.d., Llc | |
|
6522 W Main St Houma LA 70360-2267 | |
| (985) 804-1521 | |
| Not Available |
| Full Name | Stephany L. Hillman, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6522 W Main St, Houma, Louisiana |
| Authorized Official Name and Position | Stephany L Hillman (OWNER) |
| Authorized Official Contact | 9858041521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephany L. Hillman, Ph.d., Llc 1817 Harvest Dr Houma LA 70360-5909 Ph: (985) 804-1521 | Stephany L. Hillman, Ph.d., Llc 6522 W Main St Houma LA 70360-2267 Ph: (985) 804-1521 |
| NPI Number | 1790299287 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/13/2022 |
| Certification Date | 11/13/2022 |
| Medicare PECOS PAC ID | 1456618792 |
|---|---|
| Medicare Enrollment ID | O20171122000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790299287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 1168 (Louisiana) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
| Provider Name | Stephany L Hillman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427163674 PECOS PAC ID: 9739184623 Enrollment ID: I20140512001838 |
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