Healthcare Provider Details

I. General information

NPI: 1154110526
Provider Name (Legal Business Name): HANOF ALJADAANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 SPRING VALLEY RD STE 600
DALLAS TX
75244-1209
US

IV. Provider business mailing address

680 EXECUTIVE DR APT 1429
PLANO TX
75074-0236
US

V. Phone/Fax

Practice location:
  • Phone: 214-575-2999
  • Fax:
Mailing address:
  • Phone: 469-943-5017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number43857
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: