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Contact Information

DERYL P HILLIARD, ED.D.
367 B N. PARKWAY
SUITE 1
JACKSON, TN38305
 Phone: 731-668-2277
 Fax: 731-660-0510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DERYL P HILLIARD · (Male)

NPI # 1407926322
Status Active
Credentials ED.D.
Entity Individual
Enumeration date 11/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # P0000001755
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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