Provider Demographics
NPI:1326797473
Name:FABIAN, HANNAH CHRISTIAN (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:CHRISTIAN
Last Name:FABIAN
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MS
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:OBRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:651 MAIN STREET
Mailing Address - Street 2:SUITE 147
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071
Mailing Address - Country:US
Mailing Address - Phone:659-246-5150
Mailing Address - Fax:205-708-5044
Practice Address - Street 1:1640 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-5313
Practice Address - Country:US
Practice Address - Phone:256-841-5185
Practice Address - Fax:256-841-5186
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5127235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL284029Medicaid
AL296531Medicaid