Provider Demographics
NPI:1144368002
Name:HILL, YOSHIKO TSUTSUI (MS)
Entity type:Individual
Prefix:
First Name:YOSHIKO
Middle Name:TSUTSUI
Last Name:HILL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1705
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-5905
Mailing Address - Country:US
Mailing Address - Phone:850-819-0314
Mailing Address - Fax:
Practice Address - Street 1:2003 WILSON AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4532
Practice Address - Country:US
Practice Address - Phone:850-819-0314
Practice Address - Fax:850-481-0309
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8378101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ089XOtherBCBS FL
FL767858400Medicaid