Provider Demographics
NPI:1881737062
Name:HILL, ROBERT W (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:HILL
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:222 JOYCE LAWRENCE LN DEPT PSYCHOLOGY
Mailing Address - Street 2:APPALACHIAN STATE UN
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28608-0001
Mailing Address - Country:US
Mailing Address - Phone:828-262-2272
Mailing Address - Fax:828-262-2974
Practice Address - Street 1:140 APPALACHIAN ST STE A
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4109
Practice Address - Country:US
Practice Address - Phone:828-265-6410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1859103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000232Medicaid