Provider Demographics
NPI:1245721083
Name:HANNAH EDUCATIONAL RESOURCES & EVALUATIONS
Entity type:Organization
Organization Name:HANNAH EDUCATIONAL RESOURCES & EVALUATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNAH
Authorized Official - Suffix:
Authorized Official - Credentials:CCC SLP
Authorized Official - Phone:501-551-1438
Mailing Address - Street 1:PO BOX 56817
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72215-6817
Mailing Address - Country:US
Mailing Address - Phone:501-940-4373
Mailing Address - Fax:
Practice Address - Street 1:9701 W MARKHAM ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2123
Practice Address - Country:US
Practice Address - Phone:501-940-4373
Practice Address - Fax:501-420-1095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2053235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty