=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508416231
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HILARY PACE SLP-CF
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2019
-----------------------------------------------------
Last Update Date | 08/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10049 E DYNAMITE BLVD STE 110
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-419-0848
-----------------------------------------------------
Fax | 480-538-5258
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 258 E HILLSIDE ST
-----------------------------------------------------
City | MESA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-217-2853
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | TSLP16417
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------