Healthcare Provider Details

I. General information

NPI: 1346169323
Provider Name (Legal Business Name): HANNAH TRAN CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 S HIGLEY RD STE 103-477
GILBERT AZ
85296-1166
US

IV. Provider business mailing address

4635 FUCHSIA NIGHTS AVE UNIT 103
NORTH LAS VEGAS NV
89084-4827
US

V. Phone/Fax

Practice location:
  • Phone: 480-998-1477
  • Fax:
Mailing address:
  • Phone: 425-365-7060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP-4593
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: