Provider Demographics
NPI:1255754503
Name:HILAND, KRISTIN JO (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:JO
Last Name:HILAND
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:KRISTIN
Other - Middle Name:JO
Other - Last Name:BOYNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:166 W CARMEL DR
Mailing Address - Street 2:(TODDLER'S CHOICE, INC.)
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2526
Mailing Address - Country:US
Mailing Address - Phone:317-447-0797
Mailing Address - Fax:317-575-9206
Practice Address - Street 1:166 W CARMEL DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2526
Practice Address - Country:US
Practice Address - Phone:317-447-0797
Practice Address - Fax:317-575-9206
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22004187A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist