Provider Demographics
NPI:1558669705
Name:HILTZ, NICOLEE M (PHD)
Entity Type:Individual
Prefix:DR
First Name:NICOLEE
Middle Name:M
Last Name:HILTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5006 LENKER ST
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-3202
Mailing Address - Country:US
Mailing Address - Phone:717-730-0733
Mailing Address - Fax:
Practice Address - Street 1:4349 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4252
Practice Address - Country:US
Practice Address - Phone:717-776-3380
Practice Address - Fax:717-775-3382
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006781L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist