Provider Demographics
NPI:1285022012
Name:HILTON, ROBERT MORTON (PHD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:MORTON
Last Name:HILTON
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 1:13 MISTY MDWS
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-3206
Mailing Address - Country:US
Mailing Address - Phone:949-854-1295
Mailing Address - Fax:
Practice Address - Street 1:13 MISTY MDWS
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-3206
Practice Address - Country:US
Practice Address - Phone:949-854-1295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-01
Last Update Date:2015-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA#1215106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist