Provider Demographics
NPI:1235346636
Name:HILEMAN, CURTIS (PHD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:HILEMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:CURTIS
Other - Middle Name:
Other - Last Name:HILEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:8001 CHERRY HILL DR NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-1559
Mailing Address - Country:US
Mailing Address - Phone:740-602-2610
Mailing Address - Fax:
Practice Address - Street 1:1322 BOONE ST SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-2261
Practice Address - Country:US
Practice Address - Phone:360-820-2862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4192103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical