Provider Demographics
NPI:1366034779
Name:HILDERBRAND, JOANNA
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:HILDERBRAND
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 1:1370 ANDING OIL CITY RD
Mailing Address - Street 2:
Mailing Address - City:BENTONIA
Mailing Address - State:MS
Mailing Address - Zip Code:39040-7910
Mailing Address - Country:US
Mailing Address - Phone:601-540-8546
Mailing Address - Fax:
Practice Address - Street 1:1370 ANDING OIL CITY RD
Practice Address - Street 2:
Practice Address - City:BENTONIA
Practice Address - State:MS
Practice Address - Zip Code:39040-7910
Practice Address - Country:US
Practice Address - Phone:601-540-8546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist