Michelle Lynn Hitz, SLP

Individual provider Active NPI Speech-Language Pathologist · Carthage, IL

NPI 1215061668 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1215061668
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146007346 (IL)
Practice address
210 S Adams St
Carthage, IL 62321-1420
Phone
(217) 357-9202
Fax
(217) 357-0585
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
146007346ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146007346 IL Yes

Addresses

Primary practice location

210 S Adams St
Carthage, IL 62321-1420

Mailing address

210 S Adams St
Carthage, IL 62321-1420
Phone (217) 357-9202

Other practice location 1

412 S. Marion Street
Carthage, IL 62321-1637
Phone (217) 357-3414

Other providers in Carthage, IL

All providers in Carthage, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.