Provider Demographics
NPI:1427294958
Name:HOCKENBURY, DANA KATHERINE (SLP, MFT)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:KATHERINE
Last Name:HOCKENBURY
Suffix:
Gender:F
Credentials:SLP, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 W 169TH ST
Mailing Address - Street 2:APARTMENT 6G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3906
Mailing Address - Country:US
Mailing Address - Phone:212-866-5400
Mailing Address - Fax:
Practice Address - Street 1:565 W 169TH ST
Practice Address - Street 2:APARTMENT 6G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3906
Practice Address - Country:US
Practice Address - Phone:212-866-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01-0369235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist