MEDICARE: HILARY HARDWICK M.A,,M.E. SLP, CCC

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	81	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912031709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILARY HARDWICK M.A,,M.E. SLP, CCC

Provider Business Mailing Address
First Line	:	1735 SANYA CIR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-3524
Country	:	US
Telephone Number	:	907-333-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	3710 E 20H AVE
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508
Country	:	US
Telephone Number	:	907-272-0133
Fax Number	:

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	07/09/2007

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