Provider Demographics
NPI:1821287590
Name:ERIN K. HILL, PSY.D., LLP
Entity Type:Organization
Organization Name:ERIN K. HILL, PSY.D., LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:781-898-7676
Mailing Address - Street 1:1101 BEACON ST
Mailing Address - Street 2:SUITE 5E
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5587
Mailing Address - Country:US
Mailing Address - Phone:781-898-7640
Mailing Address - Fax:781-898-7676
Practice Address - Street 1:1101 BEACON ST
Practice Address - Street 2:SUITE 5E
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5587
Practice Address - Country:US
Practice Address - Phone:781-898-7640
Practice Address - Fax:781-898-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8246103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW06419OtherBCBS
MAW51442Medicare PIN