Provider Demographics
NPI:1386702462
Name:HILL-STEPHENS, HELEN
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:
Last Name:HILL-STEPHENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 PECOS LOOP SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-3269
Mailing Address - Country:US
Mailing Address - Phone:505-892-8262
Mailing Address - Fax:505-892-8262
Practice Address - Street 1:1510 ELLISON DR NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-5101
Practice Address - Country:US
Practice Address - Phone:505-897-0110
Practice Address - Fax:505-897-4251
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1340235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist