1972899961 NPI number — MRS. DEANNA MARIE HANKEY MS CCC-SLP

Table of content: MACKENZIE ANN CUMMINGS MD (NPI 1962039982)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972899961 NPI number — MRS. DEANNA MARIE HANKEY MS CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANKEY
Provider First Name:
DEANNA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOGAN
Provider Other First Name:
DEANNA
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972899961
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
307 MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02038-1819
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-440-5564
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
307 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02038-1819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-440-5564
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  922545 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 922545 . This is a "SPEECH LANUGAGE PATHOLOGY" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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