Healthcare Provider Details

I. General information

NPI: 1598400897
Provider Name (Legal Business Name): HANNAH SPEECE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH ECKDAHL

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 CLYDE MORRIS BLVD STE C1
ORMOND BEACH FL
32174-8204
US

IV. Provider business mailing address

290 CLYDE MORRIS BLVD STE C1
ORMOND BEACH FL
32174-8204
US

V. Phone/Fax

Practice location:
  • Phone: 386-677-2366
  • Fax:
Mailing address:
  • Phone: 386-677-2366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY2606
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: