Provider Demographics
NPI:1821693672
Name:PEROT, HANNAH M (MCD/CF-SLP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:M
Last Name:PEROT
Suffix:
Gender:F
Credentials:MCD/CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3634 GREENACRES PLACE DR UNIT 228
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2135
Mailing Address - Country:US
Mailing Address - Phone:318-529-8818
Mailing Address - Fax:
Practice Address - Street 1:1041 CHINABERRY DR STE 100
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2466
Practice Address - Country:US
Practice Address - Phone:318-219-6064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8519235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist