Provider Demographics
NPI:1114631645
Name:TUTTLE, HANNAH KATHRYN
Entity Type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:KATHRYN
Last Name:TUTTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 FELLOWS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-2414
Mailing Address - Country:US
Mailing Address - Phone:207-615-8627
Mailing Address - Fax:
Practice Address - Street 1:23 ORONO RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-1106
Practice Address - Country:US
Practice Address - Phone:207-874-8205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist