Provider Demographics
NPI:1811036320
Name:WILLIAMSON, HANNAH LEA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:LEA
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:LEA
Other - Last Name:SENGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7250 FRANCE AVENUE SOUTH
Mailing Address - Street 2:SUITE 305
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435
Mailing Address - Country:US
Mailing Address - Phone:952-285-2840
Mailing Address - Fax:952-285-2830
Practice Address - Street 1:9220 BASS LAKE ROAD
Practice Address - Street 2:SUITE 260
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55428
Practice Address - Country:US
Practice Address - Phone:763-533-0363
Practice Address - Fax:763-533-0842
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8015235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP62976OtherHEALTHPARTNERS
MN115H8SEOtherBLUE CROSS BLUE SHIELD