Healthcare Provider Details
I. General information
NPI: 1932764099
Provider Name (Legal Business Name): HANNAH CALHOUN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/04/2019
Last Update Date: 12/07/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2330 POST ST STE 270
SAN FRANCISCO CA
94115-3466
US
IV. Provider business mailing address
4657 AINSLEY DR
PLANO TX
75024-6309
US
V. Phone/Fax
- Phone: 415-353-2101
- Fax:
- Phone: 214-927-0719
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: