Organization Name: | KRISTAL HILL INC |
NPI Number: | 1003992272 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTAL MOURIE HILL (OWNER SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 1405 West Center Suite 204 Greenwood |
State: | AR US |
Postal Code: | 729363401 |
Phone Number: | 4799960663 |
Fax Number: | 4799962110 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |