Provider Demographics
NPI:1487999447
Name:HILL, THOMAS LANGDON (REV)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:LANGDON
Last Name:HILL
Suffix:
Gender:M
Credentials:REV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 N CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85701-1113
Mailing Address - Country:US
Mailing Address - Phone:520-623-4889
Mailing Address - Fax:520-254-6003
Practice Address - Street 1:288 N CHURCH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85701-1113
Practice Address - Country:US
Practice Address - Phone:520-623-4889
Practice Address - Fax:520-254-6003
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral