Provider Demographics
NPI:1568684538
Name:HILD, MEGAN CLARISSA
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:CLARISSA
Last Name:HILD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26970 HAYWARD BLVD #212
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94542
Mailing Address - Country:US
Mailing Address - Phone:510-461-7761
Mailing Address - Fax:
Practice Address - Street 1:795 FLETCHER LANE
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544
Practice Address - Country:US
Practice Address - Phone:510-247-8313
Practice Address - Fax:510-247-8295
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)