Provider Demographics
NPI:1134620198
Name:HOCKETT, VERONICA
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:HOCKETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 COPPERTOWNE LN APT 907
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8047
Mailing Address - Country:US
Mailing Address - Phone:214-796-4099
Mailing Address - Fax:
Practice Address - Street 1:10440 N CENTRAL EXPY STE 800
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2264
Practice Address - Country:US
Practice Address - Phone:214-796-4099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-26
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31902235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist