Provider Demographics
NPI:1851784029
Name:HILL, WHITNEY SIMONE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:SIMONE
Last Name:HILL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LAKE ONTARIO CT
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-2383
Mailing Address - Country:US
Mailing Address - Phone:757-218-2893
Mailing Address - Fax:
Practice Address - Street 1:11 LAKE ONTARIO CT
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-2383
Practice Address - Country:US
Practice Address - Phone:757-218-2893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP000896235Z00000X
VA2202007258235Z00000X
NC12222235Z00000X
MD07801235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist