Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY674 | DC |
Y | 103TC0700X | Clinical Psychologist | PSY674 | DC |
NPI | 1003833922 |
---|---|
Provider Name | Dr. Walter John Hillabrant |
First Address | Washington, DC 20007-2102 |
Second Address | Washington, DC 20007-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 27/06/2013 |