MEDICARE: HANNAH MARAIS 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
1	235Z00000X	Speech-Language Pathologist	12514424-4102	UT
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1679161145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH MARAIS CCC-SLP

Provider Business Mailing Address
First Line	:	6600 VALLEYSIDE RD # B-7
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-3196
Country	:	US
Telephone Number	:	608-213-7902
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 S LAMAR BLVD STE 160
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-7990
Country	:	US
Telephone Number	:	512-431-4721
Fax Number	:

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

Provider Enumeration Date	:	01/09/2021
Last Update Date	:	05/13/2026

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Directions to “ HANNAH MARAIS CCC-SLP” Practice Location

Language	Start Address	Practice Location

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