Provider Demographics
NPI:1730364464
Name:HILL, WILLIAM RONALD (PSYD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RONALD
Last Name:HILL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVAL BRANCH HEALTH CLINIC BELLE CHASSE
Mailing Address - Street 2:400 RUSSELL AVE, BUILDING 41, ROOM 105C
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037
Mailing Address - Country:US
Mailing Address - Phone:504-678-3679
Mailing Address - Fax:
Practice Address - Street 1:NAVAL BRANCH HEALTH CLINIC BELLE CHASSE
Practice Address - Street 2:400 RUSSELL AVE, BUILDING 41, ROOM 105C
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037
Practice Address - Country:US
Practice Address - Phone:504-678-3679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1064103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical