Provider Demographics
NPI:1427208453
Name:HANLEY, GEORGETTE (MA, SLP)
Entity Type:Individual
Prefix:
First Name:GEORGETTE
Middle Name:
Last Name:HANLEY
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 1:26 PAINTED TURTLE CV
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2347
Mailing Address - Country:US
Mailing Address - Phone:501-224-3755
Mailing Address - Fax:
Practice Address - Street 1:319 N PINE ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-4215
Practice Address - Country:US
Practice Address - Phone:501-447-5919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist