| Doctor Name: | MS. COLLEEN ANN HANEY |
| NPI Number: | 1831174788 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED CCC SLP |
| License Number: | SA6319 |
| Business Practice Address: | 3066 Jog Rd Advanced Pediatric Systems Greenacres, FL - 33467 |
| Business Phone Number: | 5613575883 |
| Business Fax Number: | 5613575884 |
| Mailing Address: | 800 E Camino Real, #411 BOCA RATON |
| State: | FL |
| Postal Code: | 33432 |
| Phone Number: | 5614174903 |
| Fax Number: | 5614178986 |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA6319 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |