Provider Demographics
NPI:1376817619
Name:HILL, MARVIE LEE
Entity Type:Individual
Prefix:MR
First Name:MARVIE
Middle Name:LEE
Last Name:HILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 N. COMMERCE STREET
Mailing Address - Street 2:200
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032
Mailing Address - Country:US
Mailing Address - Phone:702-633-7570
Mailing Address - Fax:702-974-1348
Practice Address - Street 1:3840 N COMMERCE ST
Practice Address - Street 2:200
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-8104
Practice Address - Country:US
Practice Address - Phone:702-633-7570
Practice Address - Fax:702-974-1348
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor