Provider Demographics
NPI:1275565830
Name:HANSON, HUGH JALMER (MA, SLP)
Entity Type:Individual
Prefix:MR
First Name:HUGH
Middle Name:JALMER
Last Name:HANSON
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:978 CHAMBERS ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-4861
Mailing Address - Country:US
Mailing Address - Phone:801-399-5601
Mailing Address - Fax:801-394-2230
Practice Address - Street 1:978 CHAMBERS ST
Practice Address - Street 2:SUITE #1
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4861
Practice Address - Country:US
Practice Address - Phone:801-399-5601
Practice Address - Fax:801-394-2230
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT111923-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist