Provider Demographics
NPI:1598161903
Name:HANLON, BRIANNE (SPEECH THERAPIST)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:HANLON
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:BRIANNE
Other - Middle Name:
Other - Last Name:HANCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SPEECH THERAPIST
Mailing Address - Street 1:505 CHERRYHILL DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1176
Mailing Address - Country:US
Mailing Address - Phone:412-302-1143
Mailing Address - Fax:
Practice Address - Street 1:160 GREENE PLZ # RTS2179
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-8142
Practice Address - Country:US
Practice Address - Phone:724-852-2504
Practice Address - Fax:724-852-2547
Is Sole Proprietor?:No
Enumeration Date:2014-11-12
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL012216235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist