Healthcare Provider Details

I. General information

NPI: 1699521237
Provider Name (Legal Business Name): HANNAH ELISABETH BREWER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 GRAVES DR STE 19
GOLDSBORO NC
27534-4550
US

IV. Provider business mailing address

2719 GRAVES DR STE 19
GOLDSBORO NC
27534-4550
US

V. Phone/Fax

Practice location:
  • Phone: 252-341-9944
  • Fax: 252-431-0957
Mailing address:
  • Phone: 252-341-9944
  • Fax: 252-439-0957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30004829
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number121018
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: