Basic Information
| Provider Information | |||||||||
| NPI: | 1710183603 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILL | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | ELLEN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 28955 MURPHY RD | ||||||||
| Address2: | |||||||||
| City: | COOLVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 457239733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7406670569 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 400 N 7TH ST | ||||||||
| Address2: | |||||||||
| City: | MARIETTA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 457502024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403733597 | ||||||||
| FaxNumber: | 7403739518 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 5636 | OH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.