Andrea Austin Hancock, MSCCCSLP
Individual provider Active NPI Speech-Language Pathologist · Morganfield, KY
NPI 1215134200 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1215134200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5462 (SC)
- Practice address
- 509 N Carrier St
Morganfield, KY 42437-1201 - Phone
- (270) 389-3513
- Fax
- (270) 389-4706
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5462 | SC | MD | Counselor |
| KY-3169 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | KY-3169 | KY | |
| Speech-Language Pathologist | 235Z00000X | 5462 | SC | Yes |
Addresses
Primary practice location
509 N Carrier St
Morganfield, KY 42437-1201
Mailing address
PO Box 26106
Greenville, SC 29616-1106
Phone (864) 905-9645
Other providers in Morganfield, KY
- Green River District Health Department
- Green River District Health Department
- Green River District Health Dept
- Jaci Hagan
- Laura B Hancock Jones
- Terry D Harmon
- Matthew Hemmerle
- Heather Ann Henderson
- Jillian Michael Humphrey
- Tim S Joiner
All providers in Morganfield, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.