Most Relevant Information
Provider Data
| NPI Number: | 1003486119 |
| Provider Name: | TIMOTHY JAY HILL MSED |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/30/2021 |
| Last Updated: | 06/30/2021 |
Provider Practice Location
2100 GOSHEN RD
FORT WAYNE
IN
468081493
Practice Location Phone/Fax
| Phone: | 2604713500 |
| Fax: |
Provider Mailing Location
2621 E JEFFERSON ST
WARSAW
IN
465803880
Provider Mailing Phone/Fax
| Phone: | 5742677169 |
| Fax: |