Provider Demographics
NPI:1043085434
Name:REID, HANNAH HELEN (SLPA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:HELEN
Last Name:REID
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5465 242ND RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MO
Mailing Address - Zip Code:65622-9000
Mailing Address - Country:US
Mailing Address - Phone:660-924-3118
Mailing Address - Fax:
Practice Address - Street 1:8229 E HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MO
Practice Address - Zip Code:64735-8010
Practice Address - Country:US
Practice Address - Phone:660-477-3406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20220368742355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant