Provider Demographics
NPI:1295951671
Name:CROWLEY, HILARY J (PHD)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:J
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 GIBSON ST NW
Mailing Address - Street 2:STE 202
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2115
Mailing Address - Country:US
Mailing Address - Phone:540-908-4836
Mailing Address - Fax:
Practice Address - Street 1:211 GIBSON ST NW
Practice Address - Street 2:SUITE 202
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2115
Practice Address - Country:US
Practice Address - Phone:703-999-2574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000603231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1295951671Medicaid
P00743255OtherRR MEDICARE PTAN
00X40H01Medicare PIN
P00743255OtherRR MEDICARE PTAN