Doctor Name: | KRISTIN W HANCOCK |
NPI Number: | 1174760862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/CCC-SLP |
License Number: | 2202004533 |
Business Practice Address: | 2943 Riverside Dr Suite D-e Danville, VA - 245413436 |
Business Phone Number: | 4347997732 |
Business Fax Number: | 4347997733 |
Mailing Address: | Po Box 10566, DANVILLE |
State: | VA |
Postal Code: | 245435010 |
Phone Number: | 4347997732 |
Fax Number: | 4347997733 |
NPI Enumeration Date: | 01/16/2009 |
NPI Last Update Date: | 01/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |