Provider Demographics
NPI:1558917252
Name:LAPLANTE, HANNAH GRACE (AUD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:GRACE
Last Name:LAPLANTE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5099 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-3111
Mailing Address - Country:US
Mailing Address - Phone:770-639-5010
Mailing Address - Fax:
Practice Address - Street 1:2301 NEWNAN CROSSING BLVD E STE 160
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2542
Practice Address - Country:US
Practice Address - Phone:770-254-2224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-18
Last Update Date:2019-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD004197231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist