Provider Demographics
NPI:1932329687
Name:COMBS, HILARY S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:S
Last Name:COMBS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5665 COLLEGE AVE
Mailing Address - Street 2:SUITE 340E
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1625
Mailing Address - Country:US
Mailing Address - Phone:347-489-8920
Mailing Address - Fax:
Practice Address - Street 1:122 LIME AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5158
Practice Address - Country:US
Practice Address - Phone:347-489-8920
Practice Address - Fax:562-612-0015
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21074103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist