Provider Demographics
NPI:1386868446
Name:HILL, ANTHONY L (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:L
Last Name:HILL
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 1:12317 MORNING LIGHT TER
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2089
Mailing Address - Country:US
Mailing Address - Phone:301-963-8872
Mailing Address - Fax:301-963-1824
Practice Address - Street 1:12317 MORNING LIGHT TER
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2089
Practice Address - Country:US
Practice Address - Phone:301-963-8872
Practice Address - Fax:301-963-1824
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0005101YP2500X
DC125101YP2500X
MD3355103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis