Provider Demographics
NPI:1437214665
Name:HILLILA, S. CHRISTINE (PHD)
Entity Type:Individual
Prefix:
First Name:S.
Middle Name:CHRISTINE
Last Name:HILLILA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:HILLILA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:4200 SOMERSET DR
Mailing Address - Street 2:SUITE 246
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-5217
Mailing Address - Country:US
Mailing Address - Phone:913-649-8707
Mailing Address - Fax:913-649-8714
Practice Address - Street 1:4200 SOMERSET DR
Practice Address - Street 2:SUITE 246
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-5217
Practice Address - Country:US
Practice Address - Phone:913-649-8707
Practice Address - Fax:913-649-8714
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0617103T00000X, 103TC0700X, 103TC2200X, 103TF0000X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS14074031OtherBCBS OF KANSAS CITY
KS0002465Medicare ID - Type UnspecifiedCLINICAL PSYCHOLOGIST