Provider Demographics
NPI:1427342682
Name:HILLS, KIMBERLY JOY (PHD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:JOY
Last Name:HILLS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:JOY
Other - Last Name:DRIGGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2221 DEVINE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-2418
Mailing Address - Country:US
Mailing Address - Phone:803-777-7616
Mailing Address - Fax:803-777-9558
Practice Address - Street 1:2221 DEVINE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-2418
Practice Address - Country:US
Practice Address - Phone:803-777-7616
Practice Address - Fax:803-777-9558
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1052103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist