Individual
DR. MICHAEL LOREN HILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4696 W OVERLAND RD STE 156, BOISE, ID 83705-2878
(208) 577-6617
(208) 577-6617
Mailing address
4696 W OVERLAND RD, STE 156, BOISE, ID 83705-2878
(208) 577-6617
(208) 577-6617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202427
ID
Other
Enumeration date
03/15/2007
Last updated
10/27/2017
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