Provider Demographics
NPI:1780965384
Name:HILLEN, MONIQUE M (MED)
Entity type:Individual
Prefix:MISS
First Name:MONIQUE
Middle Name:M
Last Name:HILLEN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LEVERETT RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1229
Mailing Address - Country:US
Mailing Address - Phone:413-256-3069
Mailing Address - Fax:
Practice Address - Street 1:25 LEVERETT RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1229
Practice Address - Country:US
Practice Address - Phone:413-256-3069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health