Provider Demographics
NPI:1659505048
Name:HILL, PAUL MICHAEL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MICHAEL
Last Name:HILL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 W BOSCAWEN ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4190
Mailing Address - Country:US
Mailing Address - Phone:540-358-0391
Mailing Address - Fax:540-535-1151
Practice Address - Street 1:133 W BOSCAWEN ST
Practice Address - Street 2:SUITE 11
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4190
Practice Address - Country:US
Practice Address - Phone:540-358-0391
Practice Address - Fax:540-535-1151
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004113103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical