Provider Demographics
NPI:1295873735
Name:HILLEGASS, CHRISTINE A (PSY D)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:A
Last Name:HILLEGASS
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 KINDSFATHER DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-9238
Mailing Address - Country:US
Mailing Address - Phone:406-220-0151
Mailing Address - Fax:
Practice Address - Street 1:76 KINDSFATHER DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-9238
Practice Address - Country:US
Practice Address - Phone:406-220-0151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT314103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0490433Medicaid
MT000051621OtherBCBS PROVIDER #
MT000051621OtherBCBS PROVIDER #