Provider Demographics
NPI:1699970343
Name:HILL, RENEE ROY (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:ROY
Last Name:HILL
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10016 S PLACITA NOTABLE
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:AZ
Mailing Address - Zip Code:85641-2059
Mailing Address - Country:US
Mailing Address - Phone:520-721-6699
Mailing Address - Fax:
Practice Address - Street 1:3420 N DODGE BLVD STE 156
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1445
Practice Address - Country:US
Practice Address - Phone:520-529-2879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP2034235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist