Provider Demographics
NPI:1093973901
Name:HILL, MARIAH L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARIAH
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 173180
Mailing Address - Street 2:211 SWINGLE
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59717-3180
Mailing Address - Country:US
Mailing Address - Phone:406-994-4531
Mailing Address - Fax:406-994-2485
Practice Address - Street 1:211 SWINGLE
Practice Address - Street 2:COUNSELING & PSYCHOLOGICAL SERVICES
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59717-3180
Practice Address - Country:US
Practice Address - Phone:406-994-4531
Practice Address - Fax:406-994-2485
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT384103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist