Provider Demographics
NPI:1477745479
Name:HILL, MERRILL H (AUD)
Entity Type:Individual
Prefix:
First Name:MERRILL
Middle Name:H
Last Name:HILL
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 5TH ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-6026
Mailing Address - Country:US
Mailing Address - Phone:605-415-0038
Mailing Address - Fax:605-716-6391
Practice Address - Street 1:4940 5TH ST STE 2B
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-6026
Practice Address - Country:US
Practice Address - Phone:605-415-0038
Practice Address - Fax:605-716-6391
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00004653231H00000X
SD1085-A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist