| Doctor Name: | MS. SUSHANNAH WYNN HANSON |
| NPI Number: | 1356571137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. SLP-CF |
| License Number: | |
| Business Practice Address: | 245 Cahaba Valley Pkwy Ste 200 Pelham, AL - 351242217 |
| Business Phone Number: | 2059426820 |
| Business Fax Number: | 2059425884 |
| Mailing Address: | 2334 Washington St, ALEXANDER CITY |
| State: | AL |
| Postal Code: | 350103569 |
| Phone Number: | 2053299061 |
| Fax Number: | 2562153794 |
| NPI Enumeration Date: | 07/15/2009 |
| NPI Last Update Date: | 07/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |