Provider Demographics
NPI:1396563615
Name:HILLYARD, MATTHEW (PSY D)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:HILLYARD
Suffix:
Gender:M
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 1:30 BORDER ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-3056
Mailing Address - Country:US
Mailing Address - Phone:603-943-3979
Mailing Address - Fax:
Practice Address - Street 1:30 BORDER ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-3056
Practice Address - Country:US
Practice Address - Phone:603-943-3979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service