Provider Demographics
NPI:1508146986
Name:BENNETT-BAKER, HILLARY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:BENNETT-BAKER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2629 SHARPVIEW LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-6047
Mailing Address - Country:US
Mailing Address - Phone:713-501-4986
Mailing Address - Fax:
Practice Address - Street 1:2629 SHARPVIEW LN # L
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-6047
Practice Address - Country:US
Practice Address - Phone:713-501-4986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105363235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist