Provider Demographics
NPI:1750505798
Name:HILL, MARLA (BS SLP-A)
Entity Type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:BS SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-4452
Mailing Address - Country:US
Mailing Address - Phone:870-864-5133
Mailing Address - Fax:870-864-5132
Practice Address - Street 1:700 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-4452
Practice Address - Country:US
Practice Address - Phone:870-864-5133
Practice Address - Fax:870-864-5132
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR145718721Medicaid