Provider Demographics
NPI:1093850026
Name:HILL, DAWNYALE F (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DAWNYALE
Middle Name:F
Last Name:HILL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1359 SHACKLEFORD DR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-3235
Mailing Address - Country:US
Mailing Address - Phone:813-846-4448
Mailing Address - Fax:
Practice Address - Street 1:1359 SHACKLEFORD DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-3235
Practice Address - Country:US
Practice Address - Phone:813-846-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8828235Z00000X
GASLP007870235Z00000X
FLSA 7586235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL891747700Medicaid
NC7413349Medicaid