Provider Demographics
NPI:1295801819
Name:MENDOZA-HILL, ROSALIE (MA,MFT)
Entity type:Individual
Prefix:MS
First Name:ROSALIE
Middle Name:
Last Name:MENDOZA-HILL
Suffix:
Gender:F
Credentials:MA,MFT
Other - Prefix:MS
Other - First Name:ROSALIE
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA,,MFT
Mailing Address - Street 1:607 PLAZA DR STE C102
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-6945
Mailing Address - Country:US
Mailing Address - Phone:805-478-6927
Mailing Address - Fax:866-601-2621
Practice Address - Street 1:607 PLAZA DR STE C102
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454
Practice Address - Country:US
Practice Address - Phone:805-478-6927
Practice Address - Fax:866-601-2621
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48329106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist