Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 5618748-2501 | UT |
NPI | 1023165222 |
---|---|
Provider Name | Curtis L Hill |
First Address | Cedar City, UT 84720-2878 |
Second Address | Cedar City, UT 84720-2878 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
107043434101 | IHC, MEDICARE (01) | UT |