Provider Demographics
NPI:1750352928
Name:HILL, KATHRYN MARIE (LLP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:MARIE
Last Name:HILL
Suffix:
Gender:F
Credentials:LLP
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:MARIE
Other - Last Name:SZURPICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLP
Mailing Address - Street 1:151 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ROMEO
Mailing Address - State:MI
Mailing Address - Zip Code:48065-5001
Mailing Address - Country:US
Mailing Address - Phone:586-752-2325
Mailing Address - Fax:
Practice Address - Street 1:347 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROMEO
Practice Address - State:MI
Practice Address - Zip Code:48065-5185
Practice Address - Country:US
Practice Address - Phone:586-336-6844
Practice Address - Fax:586-336-6843
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301010033103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical