Provider Demographics
NPI:1245309673
Name:HOTCHKISS, KRISTINE ANNE (MA, CCC SLP)
Entity type:Individual
Prefix:MS
First Name:KRISTINE
Middle Name:ANNE
Last Name:HOTCHKISS
Suffix:
Gender:F
Credentials:MA, CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 SPIDER MONKEY CT.
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-6297
Mailing Address - Country:US
Mailing Address - Phone:573-447-1171
Mailing Address - Fax:
Practice Address - Street 1:505 SPIDER MONKEY CT.
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-6297
Practice Address - Country:US
Practice Address - Phone:573-447-1719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000173369235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist