MEDICARE: ANDREA HIX MA, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3676	NC

General Provider Information

NPI Number	:	1720218407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA HIX MA, CCC-SLP

Provider Business Mailing Address
First Line	:	115 DEER PATH LN
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-7031
Country	:	US
Telephone Number	:	336-764-2059
Fax Number	:

Provider Business Practice Location Address
First Line	:	1131 FRIEDBERG CHURCH RD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-9732
Country	:	US
Telephone Number	:	336-764-2059
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2009
Last Update Date	:	04/17/2026

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