Provider Demographics
NPI:1205020641
Name:SILL, NORITA
Entity Type:Individual
Prefix:MRS
First Name:NORITA
Middle Name:
Last Name:SILL
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 1:903 GILEAD RUPE ROAD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:64067
Mailing Address - Country:US
Mailing Address - Phone:660-232-3655
Mailing Address - Fax:
Practice Address - Street 1:500 NE 1ST ST
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:MO
Practice Address - Zip Code:64035-0548
Practice Address - Country:US
Practice Address - Phone:660-398-4394
Practice Address - Fax:660-398-4396
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist