Provider Demographics
NPI:1629030770
Name:HOKE, CASSANDRA NOEL (PHD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:NOEL
Last Name:HOKE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:NOEL
Other - Last Name:SWAZEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11211 TAYLOR DRAPER LN 202
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-3971
Mailing Address - Country:US
Mailing Address - Phone:512-674-9020
Mailing Address - Fax:512-225-1466
Practice Address - Street 1:11211 TAYLOR DRAPER LN 202
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-3971
Practice Address - Country:US
Practice Address - Phone:512-674-9020
Practice Address - Fax:512-222-1466
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32806103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177704701Medicaid
TX8G1805Medicare ID - Type Unspecified
TX177704701Medicaid