Doctor Name: | HANNAH LEE CANNON |
NPI Number: | 1164733127 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 004227 |
Business Practice Address: | 100 W Walnut Ave Ste 92 Dalton, GA - 307208441 |
Business Phone Number: | 7062722219 |
Business Fax Number: | |
Mailing Address: | 8593 Kennerly Ct, OOLTEWAH |
State: | TN |
Postal Code: | 373631407 |
Phone Number: | 4235043514 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2010 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004227 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
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 |