Provider Demographics
NPI:1568851418
Name:RITCHEY, HILLARY (MCD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:ARMOREL
Mailing Address - State:AR
Mailing Address - Zip Code:72310-0099
Mailing Address - Country:US
Mailing Address - Phone:870-762-5600
Mailing Address - Fax:
Practice Address - Street 1:4555 N STATE HIGHWAY 137 SPUR
Practice Address - Street 2:
Practice Address - City:BLYTHEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72315-7424
Practice Address - Country:US
Practice Address - Phone:870-763-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3972235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist