Provider Demographics
NPI:1134558257
Name:OWENBY, HANNAH MICHELE (MT-BC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MICHELE
Last Name:OWENBY
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 HIGHLAND VIEW PASS
Mailing Address - Street 2:
Mailing Address - City:WHITE
Mailing Address - State:GA
Mailing Address - Zip Code:30184-3513
Mailing Address - Country:US
Mailing Address - Phone:850-225-3836
Mailing Address - Fax:
Practice Address - Street 1:4280 HICKORY FLAT HWY STE 108
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-6634
Practice Address - Country:US
Practice Address - Phone:770-345-2804
Practice Address - Fax:770-783-5049
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist