Provider Demographics
NPI:1033322813
Name:HOYNACKI, SALLY (MCD, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:
Last Name:HOYNACKI
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1767 BENTGRASS LN
Mailing Address - Street 2:
Mailing Address - City:TEGA CAY
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8537
Mailing Address - Country:US
Mailing Address - Phone:803-547-0650
Mailing Address - Fax:
Practice Address - Street 1:1767 BENTGRASS LN
Practice Address - Street 2:
Practice Address - City:TEGA CAY
Practice Address - State:SC
Practice Address - Zip Code:29708-8537
Practice Address - Country:US
Practice Address - Phone:803-547-0650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist