MEDICARE: HANNAH ALLARD MS, CCC-SLP

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	SP25663	CA

General Provider Information

NPI Number	:	1386192615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH ALLARD MS, CCC-SLP

Provider Business Mailing Address
First Line	:	22506 ARRIBA DR
Second Line	:
City	:	SAUGUS
State	:	CA
Zip	:	91350-2219
Country	:	US
Telephone Number	:	661-645-0644
Fax Number	:

Provider Business Practice Location Address
First Line	:	22201 CYPRESS PL
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91390-4212
Country	:	US
Telephone Number	:	661-294-5325
Fax Number	:

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

Provider Enumeration Date	:	09/15/2016
Last Update Date	:	04/17/2020

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