Provider Demographics
NPI:1801520978
Name:HOEKMAN, IVY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:IVY
Middle Name:
Last Name:HOEKMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34042 50TH AVE S
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-9701
Mailing Address - Country:US
Mailing Address - Phone:206-859-9123
Mailing Address - Fax:
Practice Address - Street 1:29020 216TH AVE SE
Practice Address - Street 2:
Practice Address - City:BLACK DIAMOND
Practice Address - State:WA
Practice Address - Zip Code:98010-1274
Practice Address - Country:US
Practice Address - Phone:253-854-5660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist