Provider Demographics
NPI:1407562796
Name:ESCOBAR, HANNAH RAE (AUD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:RAE
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:RAE
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:338 SOUTHBANK DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-4507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:39 VARDEN DR STE A
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-5202
Practice Address - Country:US
Practice Address - Phone:803-641-6104
Practice Address - Fax:803-641-6234
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist