Provider Demographics
NPI:1053574756
Name:HILL, DELTHEA J (PHD)
Entity type:Individual
Prefix:
First Name:DELTHEA
Middle Name:J
Last Name:HILL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9240 N MERIDIAN ST
Mailing Address - Street 2:STE 320
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1822
Mailing Address - Country:US
Mailing Address - Phone:317-844-7489
Mailing Address - Fax:317-581-1007
Practice Address - Street 1:427 N 6TH ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47901-1189
Practice Address - Country:US
Practice Address - Phone:765-420-0938
Practice Address - Fax:765-420-8218
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004530A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical