Provider Demographics
NPI:1336115724
Name:HILES-BRETT, JANET T (MCD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:T
Last Name:HILES-BRETT
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:MICHIKO
Other - Last Name:TINSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:AUDIOLOGY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-0431
Practice Address - Fax:804-628-0950
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000629231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist