Provider Demographics
NPI:1124044300
Name:SONNIER-HILLIS, BRIDGET L (PHD)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:L
Last Name:SONNIER-HILLIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 STUART AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-8729
Mailing Address - Country:US
Mailing Address - Phone:512-921-4358
Mailing Address - Fax:
Practice Address - Street 1:500 RUE DE LA VIE ST STE 411
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-5128
Practice Address - Country:US
Practice Address - Phone:225-924-8584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1184103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00300649OtherRR MEDICARE
P00300649OtherRR MEDICARE
279300Medicare PIN