Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 5490 | OH |
Y | 103TC0700X | Clinical Psychologist | 5490 | OH |
N | 103TC1900X | Counseling Psychologist | 5490 | OH |
N | 103TH0100X | Health Service | 5490 | OH |
N | 103TR0400X | Rehabilitation Psychologist | 5490 | OH |
NPI | 1124246640 |
---|---|
Provider Name | Dr. Mary K. Hill |
First Address | Columbus, OH 43235-5691 |
Second Address | Columbus, OH 43235-5691 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2007 |
Last Update Date | 09/12/2010 |