Provider Demographics
NPI:1649617309
Name:WARREN, NANCY HOPKINS (MA, CCC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:HOPKINS
Last Name:WARREN
Suffix:
Gender:F
Credentials:MA, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7227 GEORGE BURNS ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2324
Mailing Address - Country:US
Mailing Address - Phone:210-844-8605
Mailing Address - Fax:
Practice Address - Street 1:5800 BROADWAY ST # 78209
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-5265
Practice Address - Country:US
Practice Address - Phone:210-844-8605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12184235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist