Provider Demographics
NPI:1356887269
Name:TREXLER, HILLARY (MEDCFSLP)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:TREXLER
Suffix:
Gender:F
Credentials:MEDCFSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 GRACE AVENUE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-2521
Mailing Address - Country:US
Mailing Address - Phone:850-640-0328
Mailing Address - Fax:850-872-9558
Practice Address - Street 1:927 GRACE AVENUE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2521
Practice Address - Country:US
Practice Address - Phone:850-640-0328
Practice Address - Fax:850-872-9558
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ7935235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist