Healthcare Provider Details

I. General information

NPI: 1285546333
Provider Name (Legal Business Name): HANNAH WAKLEY
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30801 BARRINGTON ST
MADISON HEIGHTS MI
48071-5100
US

IV. Provider business mailing address

105 N LAUREL ST UNIT B
ROYAL OAK MI
48067-2785
US

V. Phone/Fax

Practice location:
  • Phone: 248-955-9302
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: