Provider Demographics
NPI:1790454668
Name:HILL, WHITNEY DALE
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:DALE
Last Name:HILL
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 1:102 HENDRON HILLS DR
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-3607
Mailing Address - Country:US
Mailing Address - Phone:812-887-4997
Mailing Address - Fax:
Practice Address - Street 1:102 HENDRON HILLS DR
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-3607
Practice Address - Country:US
Practice Address - Phone:812-887-4997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist