Provider Demographics
NPI:1598003196
Name:HILL, PAMLYN KAY (IMF)
Entity Type:Individual
Prefix:MS
First Name:PAMLYN
Middle Name:KAY
Last Name:HILL
Suffix:
Gender:F
Credentials:IMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 WINDY WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-5057
Mailing Address - Country:US
Mailing Address - Phone:916-835-8634
Mailing Address - Fax:
Practice Address - Street 1:219 ESTATES DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-2391
Practice Address - Country:US
Practice Address - Phone:916-835-8634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93746106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist