Provider Demographics
NPI:1366185100
Name:HILLS NEUROSCIENCE INTEGRATIVE PSYCHOLOGY
Entity type:Organization
Organization Name:HILLS NEUROSCIENCE INTEGRATIVE PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLI COLLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-840-4291
Mailing Address - Street 1:4225 EXECUTIVE SQ STE 600
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1484
Mailing Address - Country:US
Mailing Address - Phone:858-880-4037
Mailing Address - Fax:
Practice Address - Street 1:4225 EXECUTIVE SQ STE 600
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1484
Practice Address - Country:US
Practice Address - Phone:858-880-4037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty