Provider Demographics
NPI:1487043543
Name:ESCOBALES, HILARY
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:ESCOBALES
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 1:41 IRVING TER
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-2739
Mailing Address - Country:US
Mailing Address - Phone:716-308-4282
Mailing Address - Fax:
Practice Address - Street 1:9540 TOWNE CENTRE DR
Practice Address - Street 2:SUITE 150
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1988
Practice Address - Country:US
Practice Address - Phone:858-999-3579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-1775235Z00000X
IL146010918235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist