Individual
DR. STACY HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3326 4TH ST, SUITE 6, LEWISTON, ID 83501-5890
(208) 746-2223
(208) 746-2226
Mailing address
3326 4TH ST, SUITE 6, LEWISTON, ID 83501-5890
(208) 746-2223
(208) 746-2226
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-202575
ID
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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