Provider Demographics
NPI:1730910506
Name:HILTON, CHARITY
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:
Last Name:HILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19600 N 12TH ST APT 6205
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8220
Mailing Address - Country:US
Mailing Address - Phone:601-941-8764
Mailing Address - Fax:
Practice Address - Street 1:19600 N 12TH ST APT 6205
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8220
Practice Address - Country:US
Practice Address - Phone:601-941-8764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist