Provider Demographics
NPI:1639921588
Name:HARRISON, HANNAH GRACE (AUD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:GRACE
Last Name:HARRISON
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 1:1121 AUSTIN BLUFFS PKWY UNIT 237
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3955
Mailing Address - Country:US
Mailing Address - Phone:314-691-9691
Mailing Address - Fax:
Practice Address - Street 1:3030 N CIRCLE DR STE 300
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1180
Practice Address - Country:US
Practice Address - Phone:198-677-8407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist