Provider Demographics
NPI:1265834014
Name:HANSCH, HILARY
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:HANSCH
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 1:217 S 25TH ST
Mailing Address - Street 2:STE D5
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-4341
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:217 S 25TH ST
Practice Address - Street 2:STE D5
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-4341
Practice Address - Country:US
Practice Address - Phone:515-576-4479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001086237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist