Provider Demographics
NPI:1891105581
Name:HILL, KAREN (MA, PSY S)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MA, PSY S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2927 OBERLIN AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-4560
Mailing Address - Country:US
Mailing Address - Phone:440-244-2568
Mailing Address - Fax:
Practice Address - Street 1:42101 GRISWOLD RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2117
Practice Address - Country:US
Practice Address - Phone:440-284-8155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHBG1028413103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist