Provider Demographics
NPI:1760717276
Name:HANKINS, ODETTE MCINTYRE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ODETTE
Middle Name:MCINTYRE
Last Name:HANKINS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3505 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124-5802
Mailing Address - Country:US
Mailing Address - Phone:216-595-0403
Mailing Address - Fax:216-595-0403
Practice Address - Street 1:3505 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44124-5802
Practice Address - Country:US
Practice Address - Phone:216-595-0403
Practice Address - Fax:216-595-0403
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP3213235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist