Doctor Name: | CHRISTIAN HANCOCK |
NPI Number: | 1134578917 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 110319 |
Business Practice Address: | 3307 Northland Dr Suite 470 Austin, TX - 787314946 |
Business Phone Number: | 5123593703 |
Business Fax Number: | |
Mailing Address: | 1510 Earle St, SAN MARCOS |
State: | TX |
Postal Code: | 786662634 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/12/2016 |
NPI Last Update Date: | 06/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 110319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |