Individual
DR. CLARENCE ROSS HILLIARD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
8640 TRINIDAD WAY, ROSEVILLE, CA 95747-8668
(916) 984-2131
(916) 676-8506
Mailing address
8640 TRINIDAD WAY, ROSEVILLE, CA 95747-8668
(916) 984-2131
(916) 676-8506
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY20666
CA
103TC0700X
Clinical Psychologist
Primary
PSY20666
CA
Other
Enumeration date
06/02/2006
Last updated
09/05/2019
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