MEDICARE: KATHLEEN E HILL 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	5047	SC

General Provider Information

NPI Number	:	1134476328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN E HILL MA, CCC-SLP

Provider Business Mailing Address
First Line	:	1233 BEN SAWYER BLVD
Second Line	:	#500
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-4577
Country	:	US
Telephone Number	:	843-697-0396
Fax Number	:	803-675-0787

Provider Business Practice Location Address
First Line	:	1233 BEN SAWYER BLVD
Second Line	:	#500
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-4577
Country	:	US
Telephone Number	:	843-697-0396
Fax Number	:	803-675-0787

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

Provider Enumeration Date	:	08/07/2012
Last Update Date	:	08/07/2012

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