Provider Demographics
NPI:1467223545
Name:ABRAHAM, HANNAH ELSA
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELSA
Last Name:ABRAHAM
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 1:5510 82ND ST SW APT J205
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-6435
Mailing Address - Country:US
Mailing Address - Phone:253-970-7408
Mailing Address - Fax:
Practice Address - Street 1:3415 LINCOLN BLVD SW
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98439-2207
Practice Address - Country:US
Practice Address - Phone:253-970-7408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASI61462365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist