Provider Demographics
NPI:1265659478
Name:ABRAMSON, HILLEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:HILLEL
Middle Name:
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6614 CLAYTON ROAD
Mailing Address - Street 2:#172
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117
Mailing Address - Country:US
Mailing Address - Phone:314-725-2299
Mailing Address - Fax:317-725-7645
Practice Address - Street 1:7301 TULANE AVENUE
Practice Address - Street 2:#1
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130
Practice Address - Country:US
Practice Address - Phone:314-398-6703
Practice Address - Fax:317-725-7645
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01891103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO120555OtherBLUE CROSS
MO2028019OtherCIGNA
MO341883OtherHEALTHLINK
MO127067OtherVALUE OPTIONS
MO341883OtherHEALTHLINK