Provider Demographics
NPI:1104281492
Name:HILL, KATHERINE (SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9281 WOLF HOLW
Mailing Address - Street 2:
Mailing Address - City:MILLSAP
Mailing Address - State:TX
Mailing Address - Zip Code:76066-3592
Mailing Address - Country:US
Mailing Address - Phone:817-999-5453
Mailing Address - Fax:
Practice Address - Street 1:9281 WOLF HOLW
Practice Address - Street 2:
Practice Address - City:MILLSAP
Practice Address - State:TX
Practice Address - Zip Code:76066
Practice Address - Country:US
Practice Address - Phone:817-999-5453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104322235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist