Provider Demographics
NPI:1134278336
Name:HILLYARD, DONALD HAROLD (DOCTOR OF MINISTRY)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:HAROLD
Last Name:HILLYARD
Suffix:
Gender:M
Credentials:DOCTOR OF MINISTRY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HOWARD CT
Mailing Address - Street 2:
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1107
Mailing Address - Country:US
Mailing Address - Phone:516-742-2018
Mailing Address - Fax:
Practice Address - Street 1:132 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2712
Practice Address - Country:US
Practice Address - Phone:516-741-0994
Practice Address - Fax:516-742-5396
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002426-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health