Healthcare Provider Details

I. General information

NPI: 1114865128
Provider Name (Legal Business Name): HANNAH GREENE PHILLIPS M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2206 CARTERS RIDGE RD
SPRUCE PINE NC
28777-8529
US

IV. Provider business mailing address

72 LEDGER SCHOOL RD
BAKERSVILLE NC
28705-7260
US

V. Phone/Fax

Practice location:
  • Phone: 828-766-9562
  • Fax:
Mailing address:
  • Phone: 828-766-2220
  • Fax: 828-766-2221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30001963
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: