Healthcare Provider Details

I. General information

NPI: 1164954301
Provider Name (Legal Business Name): HANNAH KING SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3941 E BASELINE RD STE 101
GILBERT AZ
85234-2750
US

IV. Provider business mailing address

9150 W INDIAN SCHOOL RD STE 130
PHOENIX AZ
85037-2388
US

V. Phone/Fax

Practice location:
  • Phone: 480-787-5387
  • Fax:
Mailing address:
  • Phone: 480-787-5387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP10389
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: