Healthcare Provider Details

I. General information

NPI: 1093600280
Provider Name (Legal Business Name): HANNAH SELLERS DOCTOR OF AUDIOLOGY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1963 MEMORIAL PKWY SW
HUNTSVILLE AL
35801-5036
US

IV. Provider business mailing address

28368 STATE LINE RD E
ARDMORE AL
35739-8218
US

V. Phone/Fax

Practice location:
  • Phone: 256-536-9300
  • Fax:
Mailing address:
  • Phone: 660-299-0529
  • Fax: 660-299-0529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1406A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: