Provider Demographics
NPI:1104439405
Name:SKOVRON, HILARY MH (SLP)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:MH
Last Name:SKOVRON
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 1:25 OLD TOWN FARM RD
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4547
Mailing Address - Country:US
Mailing Address - Phone:603-772-5522
Mailing Address - Fax:
Practice Address - Street 1:4 MARSTON WAY
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2004
Practice Address - Country:US
Practice Address - Phone:603-926-8708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0230235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist