Provider Demographics
NPI:1972876886
Name:THILL, LEE ANN (PHD, LPAT, LPC)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:ANN
Last Name:THILL
Suffix:
Gender:F
Credentials:PHD, LPAT, LPC
Other - Prefix:DR
Other - First Name:LEE ANN
Other - Middle Name:
Other - Last Name:THILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LPAT, LPC
Mailing Address - Street 1:63 E FLEMING PIKE
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-2462
Mailing Address - Country:US
Mailing Address - Phone:215-990-4874
Mailing Address - Fax:
Practice Address - Street 1:63 E FLEMING PIKE
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2462
Practice Address - Country:US
Practice Address - Phone:215-990-4874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005897101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional