Provider Demographics
NPI:1720123615
Name:BLOCK, MACANDA HINCHEY (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MACANDA
Middle Name:HINCHEY
Last Name:BLOCK
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MRS
Other - First Name:MACANDA
Other - Middle Name:JEAN
Other - Last Name:HINCHEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSCCC-SLP
Mailing Address - Street 1:2727 KIMBLETON CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2050
Mailing Address - Country:US
Mailing Address - Phone:713-773-5100
Mailing Address - Fax:713-773-5151
Practice Address - Street 1:12371 S KIRKWOOD RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2836
Practice Address - Country:US
Practice Address - Phone:713-773-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100266235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist