Provider Demographics
NPI:1649715475
Name:ROBERT D. HILL PHD ABPP PLLC
Entity type:Organization
Organization Name:ROBERT D. HILL PHD ABPP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:385-227-8941
Mailing Address - Street 1:34 S 500 E
Mailing Address - Street 2:STE 101
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1023
Mailing Address - Country:US
Mailing Address - Phone:385-227-8941
Mailing Address - Fax:
Practice Address - Street 1:34 S 500 E
Practice Address - Street 2:STE 101
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1023
Practice Address - Country:US
Practice Address - Phone:385-227-8941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT D. HILL PHD ABPP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT115278-2501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty