Provider Demographics
NPI:1780386805
Name:HILL, VINCENT MARSHALL
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:MARSHALL
Last Name:HILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 E RIVERSIDE DR STE 2B
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7048
Mailing Address - Country:US
Mailing Address - Phone:435-628-2221
Mailing Address - Fax:
Practice Address - Street 1:393 E RIVERSIDE DR STE 2B
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7048
Practice Address - Country:US
Practice Address - Phone:435-628-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral