Provider Demographics
NPI:1538498787
Name:HILER, CAROLYN (MFT, ATR)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:HILER
Suffix:
Gender:F
Credentials:MFT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 N INDIAN HILL BLVD
Mailing Address - Street 2:SUITE 202 A
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4644
Mailing Address - Country:US
Mailing Address - Phone:626-372-2908
Mailing Address - Fax:
Practice Address - Street 1:219 N INDIAN HILL BLVD
Practice Address - Street 2:SUITE 202 A
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4644
Practice Address - Country:US
Practice Address - Phone:626-372-2908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39393106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist