Provider Demographics
NPI:1275907271
Name:LOVETT, HILARY MEGHAN (MS, SLP-CCC)
Entity Type:Individual
Prefix:MISS
First Name:HILARY
Middle Name:MEGHAN
Last Name:LOVETT
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5543 E BURNSIDE ST
Mailing Address - Street 2:APT A
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-1296
Mailing Address - Country:US
Mailing Address - Phone:856-296-5939
Mailing Address - Fax:
Practice Address - Street 1:5543 E BURNSIDE ST
Practice Address - Street 2:APT A
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-1296
Practice Address - Country:US
Practice Address - Phone:856-296-5939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-14
Last Update Date:2015-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR015683235Z00000X
OR14096389235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist