Healthcare Provider Details

I. General information

NPI: 1497600142
Provider Name (Legal Business Name): JOSEPH CARLTON HITCHCOCK SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 SUTTER ST RM 933
SAN FRANCISCO CA
94108-3997
US

IV. Provider business mailing address

911 W 4TH ST
ROYAL OAK MI
48067-2469
US

V. Phone/Fax

Practice location:
  • Phone: 415-362-5443
  • Fax: 415-362-5444
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP42086
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7152001199
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: