Doctor Name: | MICHELLE ALICE HANSEN |
NPI Number: | 1285029355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP.0001914 |
Business Practice Address: | 6616 Reed Ct Arvada, CO - 800034005 |
Business Phone Number: | 7204347777 |
Business Fax Number: | 7207267140 |
Mailing Address: | 6616 Reed Ct, ARVADA |
State: | CO |
Postal Code: | 800034005 |
Phone Number: | 7204347777 |
Fax Number: | 7207267140 |
NPI Enumeration Date: | 04/05/2015 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP.0001914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |