Provider Demographics
NPI:1295948180
Name:HILTON, DONNA J (PH D)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:J
Last Name:HILTON
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 LANCASTER PIKE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1509
Mailing Address - Country:US
Mailing Address - Phone:302-995-9600
Mailing Address - Fax:302-995-9571
Practice Address - Street 1:3608 LANCASTER PIKE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-1509
Practice Address - Country:US
Practice Address - Phone:302-995-9600
Practice Address - Fax:302-995-9571
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000659103TC0700X, 103TC2200X, 103TF0000X, 103TB0200X
DE0000659103TA0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE100021683Medicaid