Provider Demographics
NPI:1346634292
Name:IRON SHELL-HILL, PATRICIA (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:IRON SHELL-HILL
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:ROSEBUD
Mailing Address - State:SD
Mailing Address - Zip Code:57570-0277
Mailing Address - Country:US
Mailing Address - Phone:605-366-3689
Mailing Address - Fax:
Practice Address - Street 1:28518 BIA 9
Practice Address - Street 2:
Practice Address - City:ROSEBUD
Practice Address - State:SD
Practice Address - Zip Code:57570-0277
Practice Address - Country:US
Practice Address - Phone:605-366-3689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD494103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist