Provider Demographics
NPI:1467947358
Name:HAYHURST THOMPSON, HILARY BALUM (PSYD)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:BALUM
Last Name:HAYHURST THOMPSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:HILARY
Other - Middle Name:BALUM
Other - Last Name:HAYHURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 N. ACADEMY AVE
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-1335
Mailing Address - Country:US
Mailing Address - Phone:570-271-6516
Mailing Address - Fax:
Practice Address - Street 1:100 N. ACADEMY AVE
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-1335
Practice Address - Country:US
Practice Address - Phone:570-271-6516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103G00000X
PAPS019080103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist