Provider Demographics
NPI:1215130711
Name:HILER, PAMELA A (MA)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:A
Last Name:HILER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:A
Other - Last Name:HILER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:3951 19TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-3027
Mailing Address - Country:US
Mailing Address - Phone:301-792-8764
Mailing Address - Fax:
Practice Address - Street 1:3951 19TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-3027
Practice Address - Country:US
Practice Address - Phone:301-792-8764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1759101YM0800X
DCPRC893101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC1759OtherLCPC
DCPRC893OtherLPC