Basic Information
| Provider Information | |||||||||
| NPI: | 1306124805 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILL | ||||||||
| FirstName: | JEANNE | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.A., CCC-SLP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | MELLEM | ||||||||
| OtherFirstName: | JEANNE | ||||||||
| OtherMiddleName: | ANN | ||||||||
| OtherNamePrefix: | MISS | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.A., CCC-SLP | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 306 E 23RD ST | ||||||||
| Address2: | |||||||||
| City: | YANKTON | ||||||||
| State: | SD | ||||||||
| PostalCode: | 570781409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6052601921 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 401 W DARLENE ST | ||||||||
| Address2: | |||||||||
| City: | HARTINGTON | ||||||||
| State: | NE | ||||||||
| PostalCode: | 687394510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4022543985 | ||||||||
| FaxNumber: | 4202543963 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2011 | ||||||||
| LastUpdateDate: | 08/01/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 1078 | NE | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.