Provider Demographics
NPI:1255855623
Name:ANTHONY, HILLARY SHANAE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:SHANAE
Last Name:ANTHONY
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 1:749 COLUMBIA HWY
Mailing Address - Street 2:
Mailing Address - City:HOHENWALD
Mailing Address - State:TN
Mailing Address - Zip Code:38462-4210
Mailing Address - Country:US
Mailing Address - Phone:931-706-9224
Mailing Address - Fax:
Practice Address - Street 1:749 COLUMBIA HWY
Practice Address - Street 2:
Practice Address - City:HOHENWALD
Practice Address - State:TN
Practice Address - Zip Code:38462-4210
Practice Address - Country:US
Practice Address - Phone:931-706-9224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5941235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist