Provider Demographics
NPI:1780220491
Name:HILL, KRISTEN MARY (MA, CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:MARY
Last Name:HILL
Suffix:
Gender:F
Credentials:MA, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 BENRIS AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-2453
Mailing Address - Country:US
Mailing Address - Phone:516-521-4244
Mailing Address - Fax:
Practice Address - Street 1:505 GLEN COVE AVE
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-1447
Practice Address - Country:US
Practice Address - Phone:516-521-4244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027989235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist