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NPI Code Detail

MEDICARE: HANNAH RAE HUMPHREY SLP

MEDICARE: HANNAH RAE HUMPHREY 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1508404955
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH RAE HUMPHREY SLP
Provider Business Mailing Address
First Line : 430 ARMOUR DR
Second Line :
City : JACKSON
State : MS
Zip : 39211-4706
Country : US
Telephone Number : 601-750-1142
Fax Number :
Provider Business Practice Location Address
First Line : 3850 E ESTHER ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-2009
Country : US
Telephone Number : 562-498-3368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2019
Last Update Date : 08/18/2022

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Directions to “ HANNAH RAE HUMPHREY SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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