Provider Demographics
NPI:1679852040
Name:JEON, HYUNAH (AUD)
Entity Type:Individual
Prefix:DR
First Name:HYUNAH
Middle Name:
Last Name:JEON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:JEON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-5173
Practice Address - Fax:510-450-5631
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 2651282NC2000X
WALD60804943231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No282NC2000XHospitalsGeneral Acute Care HospitalChildren