Provider Demographics
NPI:1700388600
Name:HANNO, ALISON BERNADETTE
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:BERNADETTE
Last Name:HANNO
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 1:10 PRIMROSE WAY UNIT 4208
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-3159
Mailing Address - Country:US
Mailing Address - Phone:978-430-3303
Mailing Address - Fax:
Practice Address - Street 1:126 MONUMENT ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-2527
Practice Address - Country:US
Practice Address - Phone:978-373-1747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8009235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA8089OtherSLP LICENSE