Provider Demographics
NPI:1083942478
Name:HARRIS, HILLARY MALONE
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:MALONE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 UNIVERSITY SQ
Mailing Address - Street 2:SUITE 19
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-1825
Mailing Address - Country:US
Mailing Address - Phone:256-837-2470
Mailing Address - Fax:256-837-2471
Practice Address - Street 1:4801 UNIVERSITY SQ
Practice Address - Street 2:SUITE 19
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1825
Practice Address - Country:US
Practice Address - Phone:256-837-2470
Practice Address - Fax:256-837-2471
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2842235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist