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NPI Code Detail

MEDICARE: MS. PAMELA HANNA SLP

MEDICARE: MS. PAMELA HANNA 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 Pathologist16674TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649304106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAMELA HANNA SLP
Provider Business Mailing Address
First Line : 2110 W 3RD ST
Second Line :
City : CLIFTON
State : TX
Zip : 76634-1138
Country : US
Telephone Number : 254-498-4970
Fax Number :
Provider Business Practice Location Address
First Line : 4900 SANGER AVE
Second Line :
City : WACO
State : TX
Zip : 76710-5866
Country : US
Telephone Number : 254-848-6284
Fax Number : 254-848-4193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 01/14/2022

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Directions to “ MS. PAMELA HANNA SLP” Practice Location

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