Healthcare Provider Details

I. General information

NPI: 1659292746
Provider Name (Legal Business Name): HANNAH PHOEBE TOCKMAN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 BLOOMINGROVE DR
TROY NY
12180-8404
US

IV. Provider business mailing address

52 CORPORATE CIR STE 214
ALBANY NY
12203-5176
US

V. Phone/Fax

Practice location:
  • Phone: 518-283-4921
  • Fax:
Mailing address:
  • Phone: 518-456-3268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: