Provider Demographics
NPI:1144777665
Name:HANSON, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HANSON
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 1:1169 W RD
Mailing Address - Street 2:
Mailing Address - City:PENDER
Mailing Address - State:NE
Mailing Address - Zip Code:68047-4046
Mailing Address - Country:US
Mailing Address - Phone:402-380-0854
Mailing Address - Fax:
Practice Address - Street 1:EDUCATIONAL SERVICE UNIT #2
Practice Address - Street 2:2320 N COLORADO AVE
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-0649
Practice Address - Country:US
Practice Address - Phone:402-721-7712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12133989235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist