Provider Demographics
NPI:1326382920
Name:HILL COUNTRY SPEECH THERAPY, PLLC
Entity Type:Organization
Organization Name:HILL COUNTRY SPEECH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC/SLP
Authorized Official - Phone:512-368-2238
Mailing Address - Street 1:12505 RUSH CREEK LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-1991
Mailing Address - Country:US
Mailing Address - Phone:512-368-2238
Mailing Address - Fax:512-266-6319
Practice Address - Street 1:12505 RUSH CREEK LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-1991
Practice Address - Country:US
Practice Address - Phone:512-368-2238
Practice Address - Fax:512-266-6319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104468235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty