Individual
KATHERINE LEIGH HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
52435 EASTERN AVENUE, DRUMMOND, WI 54832
(715) 739-6442
Mailing address
PO BOX 70, DRUMMOND, WI 54832-0070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2002
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39117200
—
WI
Enumeration date
02/14/2007
Last updated
07/08/2007
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