Doctor Name: | MRS. SUSAN MERVIN HOCK |
NPI Number: | 1205044054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | SP0000000294 |
Business Practice Address: | 1225 E Weisgarber Rd Ste 180 South Knoxville, TN - 379092604 |
Business Phone Number: | 8655845558 |
Business Fax Number: | 8655846607 |
Mailing Address: | 1808 Grenada Blvd, KNOXVILLE |
State: | TN |
Postal Code: | 379226314 |
Phone Number: | 8656930000 |
Fax Number: | 8656930000 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP0000000294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |