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NPI Code Detail

MEDICARE: ELIZABETH HANSEN SLP

MEDICARE:   ELIZABETH  HANSEN  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 Pathologist116508TX

General Provider Information

NPI Number : 1578153326
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH HANSEN SLP
Provider Business Mailing Address
First Line : 955 CAMPBELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2803
Country : US
Telephone Number : 713-251-2800
Fax Number :
Provider Business Practice Location Address
First Line : 955 CAMPBELL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2803
Country : US
Telephone Number : 713-251-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2021
Last Update Date : 05/18/2022

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Directions to “ ELIZABETH HANSEN SLP” Practice Location

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