MEDICARE: MRS. KATHLEEN HITE M.S. 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	3087	AL

General Provider Information

NPI Number	:	1053893305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHLEEN HITE M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1789 CORNWALL RD
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-2654
Country	:	US
Telephone Number	:	205-383-9460
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 INVERNESS CENTER DR APT 148
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-5603
Country	:	US
Telephone Number	:	205-437-2073
Fax Number	:	205-995-5536

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

Provider Enumeration Date	:	09/04/2018
Last Update Date	:	09/04/2018

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Directions to “ MRS. KATHLEEN HITE M.S. CCC-SLP” Practice Location

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