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NPI Code Detail

MEDICARE: LAURA HANCOCK MT-BC

MEDICARE: LAURA HANCOCK MT-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225A00000XMusic Therapist09538NC
2103K00000XBehavior AnalystNC
3106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1497132773
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA HANCOCK MT-BC
Provider Business Mailing Address
First Line : 9014 ROSETON LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-2240
Country : US
Telephone Number : 704-460-0459
Fax Number :
Provider Business Practice Location Address
First Line : 3000 LATROBE DR STE B
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-5227
Country : US
Telephone Number : 704-780-4271
Fax Number : 888-261-6694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2015
Last Update Date : 07/29/2021

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Directions to “ LAURA HANCOCK MT-BC” Practice Location

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