Provider Demographics
NPI:1518198985
Name:GAZELEY, HILARY A (AUD)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:A
Last Name:GAZELEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:A
Other - Last Name:SZYMANSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-805-5586
Mailing Address - Fax:414-805-7936
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-805-5586
Practice Address - Fax:414-805-7936
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI439231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1518198985Medicaid