Melissa Ann Hille, MA CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Avon Lake, OH

NPI 1821528142 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1821528142
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP7242 (OH)
Practice address
155 Moore Rd
Avon Lake, OH 44012-1157
Phone
(440) 933-8131
Fax
(440) 933-7025
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP7242OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP7242 OH Yes

Addresses

Primary practice location

155 Moore Rd
Avon Lake, OH 44012-1157

Mailing address

4239 W 211TH St
Fairview Park, OH 44126-1506
Phone (440) 331-4231

Other providers in Avon Lake, OH

All providers in Avon Lake, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.