Basic Information
Provider Information
NPI: 1831523547
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL
FirstName: WHITNEY
MiddleName: LIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: AU.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10002 PRINCESS PALM AVE STE 332
Address2:  
City: TAMPA
State: FL
PostalCode: 336198327
CountryCode: US
TelephoneNumber: 8135717184
FaxNumber: 8136544685
Practice Location
Address1: 4714 N ARMENIA AVE STE 200
Address2:  
City: TAMPA
State: FL
PostalCode: 33603
CountryCode: US
TelephoneNumber: 8138728794
FaxNumber: 8138791652
Other Information
ProviderEnumerationDate: 08/29/2013
LastUpdateDate: 06/06/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000XAY1800FLY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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