Healthcare Provider Details

I. General information

NPI: 1043736457
Provider Name (Legal Business Name): STARLA HILL SLP-ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 08/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AOC 8001 S US HWY
SHERMAN TX
75090
US

IV. Provider business mailing address

706 HICKORY ST
QUEEN CITY TX
75572-2517
US

V. Phone/Fax

Practice location:
  • Phone: 972-935-4752
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number40114
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: