Provider Demographics
NPI:1992585426
Name:HILLIARD, KARRIE (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:KARRIE
Middle Name:
Last Name:HILLIARD
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 WEST LOOP S STE 570
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2508
Mailing Address - Country:US
Mailing Address - Phone:713-662-0622
Mailing Address - Fax:
Practice Address - Street 1:5909 WEST LOOP S STE 570
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2508
Practice Address - Country:US
Practice Address - Phone:713-662-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38689103TC0700X
TX71802103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool