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NPI Code Detail

MEDICARE: HANNAH RENICK

MEDICARE: HANNAH RENICK
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 PathologistCOND.2017452-SPOH

General Provider Information

NPI Number : 1902323272
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH RENICK
Provider Business Mailing Address
First Line : 3364 ORION AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-1767
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 MILLS PL
Second Line :
City : NEW LEBANON
State : OH
Zip : 45345-1430
Country : US
Telephone Number : 937-687-1311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2017
Last Update Date : 08/27/2017

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Directions to “ HANNAH RENICK ” Practice Location

Language Start Address Practice Location
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