Provider Demographics
NPI:1427290642
Name:HITCHENS, CLAUDELLE YVONNE (MA CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:CLAUDELLE
Middle Name:YVONNE
Last Name:HITCHENS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:CLAUDELLE
Other - Middle Name:YVONNE
Other - Last Name:HITCHENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 50110
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132
Mailing Address - Country:US
Mailing Address - Phone:267-235-0799
Mailing Address - Fax:
Practice Address - Street 1:224 W TULPEHOCKEN ST
Practice Address - Street 2:UNITARIAN UNIVERSALIST HOUSE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144
Practice Address - Country:US
Practice Address - Phone:888-873-4221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003170L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist