Provider Demographics
NPI:1790209120
Name:HOEKS, TAYLOR (SLP)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:
Last Name:HOEKS
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 1:1900 GRAYBAR LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2110
Mailing Address - Country:US
Mailing Address - Phone:615-690-3091
Mailing Address - Fax:615-292-4941
Practice Address - Street 1:1900 GRAYBAR LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2110
Practice Address - Country:US
Practice Address - Phone:615-690-3091
Practice Address - Fax:615-292-4941
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5654235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1529885Medicaid