Provider Demographics
NPI:1881143477
Name:HANKINS, KATIE LEANN
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LEANN
Last Name:HANKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4112 E CENTER RD
Mailing Address - Street 2:TRLR 61
Mailing Address - City:MEAD
Mailing Address - State:WA
Mailing Address - Zip Code:99021-9365
Mailing Address - Country:US
Mailing Address - Phone:509-218-5535
Mailing Address - Fax:
Practice Address - Street 1:1858 E 8TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-3410
Practice Address - Country:US
Practice Address - Phone:509-999-5657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-24
Last Update Date:2016-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst