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General NPI Number Information
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NPI Number | 1598137150
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Entity Type | Individual
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Provider Name | HANNAH MAGIE M.S.
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Gender | Female
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 1000 E MAIN ST
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City | DANVILLE
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State | IN
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Zip | 46122
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Country | US
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Telephone | 317-718-8137
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Fax |
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Provider Business Mailing Address
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Address Line | 5230 N COLLEGE AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3140
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Country | US
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Telephone | 501-205-6609
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP4055
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22007350A
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License Number State | IN
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