Provider Demographics
NPI:1902455025
Name:HILTON, DESIREE RACHEL (PSYD)
Entity type:Individual
Prefix:MRS
First Name:DESIREE
Middle Name:RACHEL
Last Name:HILTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:DESIREE
Other - Middle Name:RACHEL
Other - Last Name:AZIZODDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:902 TRILLIUM CIR
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-4542
Mailing Address - Country:US
Mailing Address - Phone:626-826-7984
Mailing Address - Fax:
Practice Address - Street 1:450 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5418
Practice Address - Country:US
Practice Address - Phone:626-826-7984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11043103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist