MEDICARE: MS. HANNAH EHL MS, CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist	104944	TX

General Provider Information

NPI Number	:	1154687648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HANNAH EHL MS, CCC-SLP

Provider Business Mailing Address
First Line	:	3407 WHITE OAK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2645
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3407 WHITE OAK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2645
Country	:	US
Telephone Number	:	713-252-9818
Fax Number	:	877-530-0667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2012
Last Update Date	:	04/09/2012

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