Provider Demographics
NPI:1891849568
Name:HAND, HANNAH P (SLP)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:P
Last Name:HAND
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:HANNAH
Other - Middle Name:D
Other - Last Name:PEEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:502 S. WHEAT AVENUE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:39819-4325
Mailing Address - Country:US
Mailing Address - Phone:229-246-4088
Mailing Address - Fax:229-246-0205
Practice Address - Street 1:502 S. WHEAT AVENUE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:39819-4325
Practice Address - Country:US
Practice Address - Phone:229-246-4088
Practice Address - Fax:229-246-0205
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006513235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA932963463AMedicaid
GA52991519OtherBLUE CROSS BLUE SHIELD
GA932963463BMedicaid