Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 4575 | CO |
Y | 103T00000X | Psychologist | 4575 | CO |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4575 | CO |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4575 | CO |
N | 103TS0200X | School Psychologist | 4575 | CO |
NPI | 1083145858 |
---|---|
Provider Name | Dr. Jennifer Marie Hill |
First Address | Colorado Springs, CO 80907-8714 |
Second Address | Colorado Springs, CO 80907-8714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2017 |
Last Update Date | 20/04/2018 |