Provider Demographics
NPI:1831165935
Name:HILL, DEBRA (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 MISSION DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:AZ
Mailing Address - Zip Code:85607-1815
Mailing Address - Country:US
Mailing Address - Phone:520-805-1240
Mailing Address - Fax:
Practice Address - Street 1:1557 MISSION DR
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AZ
Practice Address - Zip Code:85607-1815
Practice Address - Country:US
Practice Address - Phone:520-805-1240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1788235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist