Provider Demographics
NPI:1780830299
Name:HAHNKAMP, DENISE ANDERSON (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ANDERSON
Last Name:HAHNKAMP
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 BROWNS BRIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:GLEN
Mailing Address - State:MT
Mailing Address - Zip Code:59732
Mailing Address - Country:US
Mailing Address - Phone:496-925-1492
Mailing Address - Fax:
Practice Address - Street 1:720 BROWNS BRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:GLEN
Practice Address - State:MT
Practice Address - Zip Code:59732
Practice Address - Country:US
Practice Address - Phone:406-925-1492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT846235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist