Provider Demographics
NPI:1437316320
Name:HYINK, PAMELA JEANE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JEANE
Last Name:HYINK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 S CEDAR BROOK RD
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-0466
Mailing Address - Country:US
Mailing Address - Phone:303-888-5261
Mailing Address - Fax:303-938-6871
Practice Address - Street 1:271 S CEDAR BROOK RD
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-0466
Practice Address - Country:US
Practice Address - Phone:303-888-5261
Practice Address - Fax:303-938-6871
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist