Provider Demographics
NPI:1932357308
Name:HANKS, TERRY DEANN (HIS)
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:DEANN
Last Name:HANKS
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 PLAZA CARMONA PL STE A
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-3056
Mailing Address - Country:US
Mailing Address - Phone:501-922-5600
Mailing Address - Fax:501-922-5619
Practice Address - Street 1:101 PLAZA CARMONA PL STE A
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-3056
Practice Address - Country:US
Practice Address - Phone:501-922-5600
Practice Address - Fax:501-922-5619
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR521237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist