Provider Demographics
NPI:1386890705
Name:HILTZ, CATHERINE EILEEN (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:EILEEN
Last Name:HILTZ
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:EILEEN
Other - Last Name:HILTZ-HYMES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LP
Mailing Address - Street 1:708 W HURON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4200
Mailing Address - Country:US
Mailing Address - Phone:734-786-8489
Mailing Address - Fax:734-224-6251
Practice Address - Street 1:708 W HURON ST STE 2
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103
Practice Address - Country:US
Practice Address - Phone:734-786-8489
Practice Address - Fax:734-224-6251
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301014868103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3094063Medicaid