Healthcare Provider Details

I. General information

NPI: 1215863386
Provider Name (Legal Business Name): SARAH HANNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E BROADWAY ST
CUSHING OK
74023-3333
US

IV. Provider business mailing address

103 E BROADWAY ST
CUSHING OK
74023-3333
US

V. Phone/Fax

Practice location:
  • Phone: 405-377-8255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLP440
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: