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NPI Code Detail

MEDICARE: ANN HAN CCC-SLP

MEDICARE: ANN HAN 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
1235Z00000XSpeech-Language Pathologist21457CA

General Provider Information

NPI Number : 1609433838
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN HAN CCC-SLP
Provider Business Mailing Address
First Line : 8282 WHITE OAK AVE STE 107
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-7681
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8282 WHITE OAK AVE STE 107
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-7681
Country : US
Telephone Number : 909-586-0509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2019
Last Update Date : 05/22/2019

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Directions to “ ANN HAN CCC-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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