Provider Demographics
NPI:1114162922
Name:HILL-KEYES, JANNIFER (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANNIFER
Middle Name:
Last Name:HILL-KEYES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JANNIFER
Other - Middle Name:E
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:12 CHANCERY PL
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2972
Mailing Address - Country:US
Mailing Address - Phone:609-918-0901
Mailing Address - Fax:609-918-9311
Practice Address - Street 1:12 CHANCERY PL
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2972
Practice Address - Country:US
Practice Address - Phone:609-918-0901
Practice Address - Fax:609-918-9311
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07985-1103G00000X
NJSI0002971103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist