Provider Demographics
NPI:1801944418
Name:HILLWIG, ALFRED J (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:J
Last Name:HILLWIG
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 PAPER MILL RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PHOENIX
Mailing Address - State:MD
Mailing Address - Zip Code:21131-1465
Mailing Address - Country:US
Mailing Address - Phone:410-628-1978
Mailing Address - Fax:410-667-0915
Practice Address - Street 1:3313 PAPER MILL RD
Practice Address - Street 2:SUITE 7
Practice Address - City:PHOENIX
Practice Address - State:MD
Practice Address - Zip Code:21131-1465
Practice Address - Country:US
Practice Address - Phone:410-628-1978
Practice Address - Fax:410-667-0915
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD 04188103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist