| Doctor Name: | MRS. AMANDA HANRAHAN |
| NPI Number: | 1003851585 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SLP 3111 |
| Business Practice Address: | 12899 E 76th St N Unit 117 Owasso, OK - 740554026 |
| Business Phone Number: | 9186096003 |
| Business Fax Number: | 9186096002 |
| Mailing Address: | 7608 E 91st St, TULSA |
| State: | OK |
| Postal Code: | 74133 |
| Phone Number: | 9186630606 |
| Fax Number: | 9186638754 |
| NPI Enumeration Date: | 06/18/2006 |
| NPI Last Update Date: | 04/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP 3111 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |