Provider Demographics
NPI:1083477046
Name:PRATT, HANNAH ASHLYN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ASHLYN
Last Name:PRATT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ASHLYN
Other - Last Name:UNDERWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10579 CEDAR GROVE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-8385
Mailing Address - Country:US
Mailing Address - Phone:615-462-6233
Mailing Address - Fax:
Practice Address - Street 1:10579 CEDAR GROVE RD STE 120
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-8385
Practice Address - Country:US
Practice Address - Phone:615-462-6233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8065235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist