Provider Demographics
NPI:1285670190
Name:HODKINSON, ANN M BARNES (MA-CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:M BARNES
Last Name:HODKINSON
Suffix:
Gender:F
Credentials:MA-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 HARTRANFT AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-1319
Mailing Address - Country:US
Mailing Address - Phone:215-643-3033
Mailing Address - Fax:
Practice Address - Street 1:707 HARTRANFT AVE
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-1319
Practice Address - Country:US
Practice Address - Phone:215-643-3033
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL002492L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0734624000OtherHMO ID