Provider Demographics
NPI:1811093651
Name:HILAND, DAVID NEIL (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NEIL
Last Name:HILAND
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:PO BOX 955
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-0955
Mailing Address - Country:US
Mailing Address - Phone:301-753-8306
Mailing Address - Fax:
Practice Address - Street 1:616 CHARLES ST
Practice Address - Street 2:SUITE 106
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-5937
Practice Address - Country:US
Practice Address - Phone:301-753-8306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSMD 01939103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD218375OtherKAISER PERMANENTE
MD46103OtherCIGNA
MD001970OtherVALUE OPTIONS
MDK103HIOtherBC/BS OF MD
MD4413993OtherAETNA
MD22250OtherM.D.IPA
MD46103OtherCIGNA