Provider Demographics
NPI:1619278926
Name:HILTON, KERIN (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KERIN
Middle Name:
Last Name:HILTON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:KERIN
Other - Middle Name:
Other - Last Name:KNOBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:84 DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2908
Mailing Address - Country:US
Mailing Address - Phone:781-351-1032
Mailing Address - Fax:
Practice Address - Street 1:84 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2908
Practice Address - Country:US
Practice Address - Phone:781-351-1032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012618-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist