Doctor Name: | MRS. CONNIE D HANSON |
NPI Number: | 1184786691 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SP |
License Number: | 00545 |
Business Practice Address: | 714 Lincoln St Ne Le Mars, IA - 510313314 |
Business Phone Number: | 7125463398 |
Business Fax Number: | 7125463352 |
Mailing Address: | 714 Lincoln St Ne, LE MARS |
State: | IA |
Postal Code: | 510313314 |
Phone Number: | 7125463398 |
Fax Number: | 7125463352 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 11/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 00545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |