Healthcare Provider Details

I. General information

NPI: 1427495571
Provider Name (Legal Business Name): HANNAH GILES M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2013
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7165 GETWELL RD
SOUTHAVEN MS
38672-9618
US

IV. Provider business mailing address

5365 HURT RD
HORN LAKE MS
38637-4191
US

V. Phone/Fax

Practice location:
  • Phone: 501-259-0523
  • Fax:
Mailing address:
  • Phone: 501-259-0523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberS-4177
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: