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NPI Code Detail

MEDICARE: HANNAH MARIE DEWITT

MEDICARE: HANNAH MARIE DEWITT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist7675SC

General Provider Information

NPI Number : 1366115321
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH MARIE DEWITT
Provider Business Mailing Address
First Line : PO BOX 2467
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29465-2467
Country : US
Telephone Number : 850-341-0418
Fax Number :
Provider Business Practice Location Address
First Line : 1169 SHARPESTOWNE CT
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-7564
Country : US
Telephone Number : 850-341-0418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2021
Last Update Date : 07/27/2021

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Directions to “ HANNAH MARIE DEWITT ” Practice Location

Language Start Address Practice Location
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