Provider Demographics
NPI:1437816113
Name:HANCOCK, CHRISTINA MAE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MAE
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MAE
Other - Last Name:HAMLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:2563 44TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-8511
Mailing Address - Country:US
Mailing Address - Phone:402-564-0815
Mailing Address - Fax:402-563-1121
Practice Address - Street 1:2563 44TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-8511
Practice Address - Country:US
Practice Address - Phone:402-564-0815
Practice Address - Fax:402-563-1121
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20210007195235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist