Individual
DR. STEPHEN ROBERT HILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7810 BALLANTYNE COMMONS PKWY, SUITE 300, CHARLOTTE, NC 28277-3415
(703) 319-2223
(704) 319-2250
Mailing address
7810 BALLANTYNE COMMONS PKWY, SUITE 300, CHARLOTTE, NC 28277-3415
(703) 319-2223
(704) 319-2250
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1673
NC
103TS0200X
School Psychologist
1673
NC
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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