Provider Demographics
NPI:1952424699
Name:HILL, STEPHEN WILLIAM (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:WILLIAM
Last Name:HILL
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 1:21731 BUCKSKIN DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-0919
Mailing Address - Country:US
Mailing Address - Phone:909-595-6833
Mailing Address - Fax:909-594-7010
Practice Address - Street 1:1930 S BREA CANYON RD
Practice Address - Street 2:SUITE 265
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-4009
Practice Address - Country:US
Practice Address - Phone:909-896-0518
Practice Address - Fax:909-594-7010
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12056103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical