Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH15545 | FL |
N | 101YP2500X | Professional Counselor | 9782 | NC |
N | 101YP2500X | Professional Counselor | PC006435 | PA |
NPI | 1003150780 |
---|---|
Provider Name | Mr. Matthew Paul Hill |
First Address | Tampa, FL 33626-5310 |
Second Address | Tampa, FL 33629-8175 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2012 |
Last Update Date | 01/10/2019 |