Provider Demographics
NPI:1033467790
Name:HACKNEY, TESS CAROLINE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TESS
Middle Name:CAROLINE
Last Name:HACKNEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:TESS
Other - Middle Name:CAROLINE
Other - Last Name:ALLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:2000 NE 46 STREET
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116
Mailing Address - Country:US
Mailing Address - Phone:816-413-5107
Mailing Address - Fax:816-413-5105
Practice Address - Street 1:2000 NE 46 STREET
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116
Practice Address - Country:US
Practice Address - Phone:816-413-5107
Practice Address - Fax:816-413-5105
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012017880235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist