MEDICARE: DEANNA HASAN

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	SZ12804	FL

General Provider Information

NPI Number	:	1285571760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA HASAN

Provider Business Mailing Address
First Line	:	18137 LONGWATER RUN DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2212
Country	:	US
Telephone Number	:	813-919-4468
Fax Number	:

Provider Business Practice Location Address
First Line	:	18137 LONGWATER RUN DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2212
Country	:	US
Telephone Number	:	813-919-4468
Fax Number	:

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

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/01/2026

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Directions to “ DEANNA HASAN ” Practice Location

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