MEDICARE: HANNAH WHITWORTH

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	182445	TN
2	235Z00000X	Speech-Language Pathologist	1824445	TN
3	235Z00000X	Speech-Language Pathologist	6923

General Provider Information

NPI Number	:	1598417974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH WHITWORTH

Provider Business Mailing Address
First Line	:	913 PECONIC PL
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-9511
Country	:	US
Telephone Number	:	615-542-0840
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 BABB DR
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37087-2506
Country	:	US
Telephone Number	:	615-758-4888
Fax Number	:

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

Provider Enumeration Date	:	01/26/2022
Last Update Date	:	01/27/2024

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Directions to “ HANNAH WHITWORTH ” Practice Location

Language	Start Address	Practice Location

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