Provider Demographics
NPI:1700993342
Name:HILL, RICHARD F (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:F
Last Name:HILL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 ZANKER RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-2117
Mailing Address - Country:US
Mailing Address - Phone:408-354-6783
Mailing Address - Fax:831-335-2118
Practice Address - Street 1:2880 ZANKER RD
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-2117
Practice Address - Country:US
Practice Address - Phone:408-354-6783
Practice Address - Fax:831-335-2118
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20326103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
366332OtherMHN
366332OtherMHN