MEDICARE: HANNAH RENEE TOLAND

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
1	235Z00000X	Speech-Language Pathologist	PSLP.0001088	CO

General Provider Information

NPI Number	:	1376238253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH RENEE TOLAND

Provider Business Mailing Address
First Line	:	6380 COUNCIL PT APT 304
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-9511
Country	:	US
Telephone Number	:	218-393-7402
Fax Number	:

Provider Business Practice Location Address
First Line	:	6380 COUNCIL PT APT 304
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-9511
Country	:	US
Telephone Number	:	218-393-7402
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2023
Last Update Date	:	04/06/2023

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Directions to “ HANNAH RENEE TOLAND ” Practice Location

Language	Start Address	Practice Location

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