Provider Demographics
NPI:1518373331
Name:HILL, KRISTIN ANDERSON (MS CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:ANDERSON
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 1:1054 LANSMOORE WAY
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6972
Mailing Address - Country:US
Mailing Address - Phone:281-825-7575
Mailing Address - Fax:
Practice Address - Street 1:769 PEACHTREE PKWY
Practice Address - Street 2:SUITE 1
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-9349
Practice Address - Country:US
Practice Address - Phone:404-966-9496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP007995235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist