Provider Demographics
NPI:1932550159
Name:HYLAND, AMELIA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:HYLAND
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 1:537 MILLBROOK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-8760
Mailing Address - Country:US
Mailing Address - Phone:716-359-2158
Mailing Address - Fax:
Practice Address - Street 1:900 LAKE FRONT DR
Practice Address - Street 2:APARTMENT D
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-3412
Practice Address - Country:US
Practice Address - Phone:716-359-2158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13698235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist