Provider Demographics
NPI:1760499305
Name:HILL, SUSAN A (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:SUSAN
Middle Name:A
Last Name:HILL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 HANSEN ROAD
Mailing Address - Street 2:
Mailing Address - City:SCHAGHTICOKE
Mailing Address - State:NY
Mailing Address - Zip Code:12154
Mailing Address - Country:US
Mailing Address - Phone:518-665-8066
Mailing Address - Fax:
Practice Address - Street 1:84 HANSEN RD
Practice Address - Street 2:
Practice Address - City:SCHAGHTICOKE
Practice Address - State:NY
Practice Address - Zip Code:12154-3103
Practice Address - Country:US
Practice Address - Phone:518-665-8066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001098-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health