Provider Demographics
NPI:1639396658
Name:FIONA HILL, PSY.D., P.C.
Entity Type:Organization
Organization Name:FIONA HILL, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FIONA
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:404-638-5291
Mailing Address - Street 1:PO BOX 2609
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30031
Mailing Address - Country:US
Mailing Address - Phone:404-638-5291
Mailing Address - Fax:
Practice Address - Street 1:755 COMMERCE DRIVE, SUITE 903
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030
Practice Address - Country:US
Practice Address - Phone:404-638-5291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2436251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000913624BMedicaid
GA000913624BMedicaid
GAGRP6252Medicare PIN
GAGRP6252Medicare Oscar/Certification