Provider Demographics
NPI:1588249338
Name:AMMON, HILLARY ELISE (PSYD)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:ELISE
Last Name:AMMON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 LEHIGH ST # 418
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-7001
Mailing Address - Country:US
Mailing Address - Phone:484-222-0230
Mailing Address - Fax:
Practice Address - Street 1:3440 LEHIGH ST # 418
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-7001
Practice Address - Country:US
Practice Address - Phone:484-222-0230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-12
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019236103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty