Provider Demographics
NPI:1144526336
Name:HAROLD, HANNAH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HAROLD
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 1:13900 LAKE SONG LN
Mailing Address - Street 2:A2
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-6551
Mailing Address - Country:US
Mailing Address - Phone:727-207-8552
Mailing Address - Fax:
Practice Address - Street 1:215 SAINT PAUL ST
Practice Address - Street 2:SUITE 205
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5124
Practice Address - Country:US
Practice Address - Phone:303-333-4062
Practice Address - Fax:303-333-4097
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist