Provider Demographics
NPI:1124209036
Name:HEMPHILL, BILLY JR (MA-CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BILLY
Middle Name:
Last Name:HEMPHILL
Suffix:JR
Gender:M
Credentials:MA-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 DONNA CT
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-0776
Mailing Address - Country:US
Mailing Address - Phone:559-349-6005
Mailing Address - Fax:
Practice Address - Street 1:1000 W YOSEMITE AVE
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-5111
Practice Address - Country:US
Practice Address - Phone:209-783-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12830235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist