Provider Demographics
NPI:1942721774
Name:GELFAND, HANNA (PHD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:HANNA
Middle Name:
Last Name:GELFAND
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2077 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1415
Mailing Address - Country:US
Mailing Address - Phone:650-485-3362
Mailing Address - Fax:
Practice Address - Street 1:2077 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1415
Practice Address - Country:US
Practice Address - Phone:650-485-3362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-01
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
CA24995235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist