Basic Information
Provider Information
NPI: 1306081997
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARTHOLOMEW
FirstName: HILARY
MiddleName: CASO
NamePrefix:  
NameSuffix:  
Credential: CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CASO
OtherFirstName: HILARY
OtherMiddleName: JANE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: CCC-SLP
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 63362
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282633362
CountryCode: US
TelephoneNumber: 9196848111
FaxNumber:  
Practice Location
Address1: 40 DUKE MEDICINE CIR
Address2:  
City: DURHAM
State: NC
PostalCode: 277104000
CountryCode: US
TelephoneNumber: 9196848111
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/10/2008
LastUpdateDate: 07/09/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X8320NCY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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