Provider Demographics
NPI:1720353220
Name:HILL, ELEANORA DANIELLE
Entity Type:Individual
Prefix:MISS
First Name:ELEANORA
Middle Name:DANIELLE
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 SAINT CATHERINE AVE
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2645
Mailing Address - Country:US
Mailing Address - Phone:774-268-1094
Mailing Address - Fax:
Practice Address - Street 1:43 SAINT CATHERINE AVE
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2645
Practice Address - Country:US
Practice Address - Phone:774-268-1094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor