Provider Demographics
NPI:1154753606
Name:HASSON, HILARY ROBIN (MA)
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:ROBIN
Last Name:HASSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:HILARY
Other - Middle Name:ROBIN
Other - Last Name:PINES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:14804 ENCLAVE LAKES DR
Mailing Address - Street 2:19 T5
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484
Mailing Address - Country:US
Mailing Address - Phone:561-350-0538
Mailing Address - Fax:
Practice Address - Street 1:1239 E NEWPORT CENTER DR
Practice Address - Street 2:101
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7711
Practice Address - Country:US
Practice Address - Phone:754-444-3707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 13088235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009411700Medicaid