Provider Demographics
NPI:1295306546
Name:ROELL, HANAH (SLP)
Entity type:Individual
Prefix:
First Name:HANAH
Middle Name:
Last Name:ROELL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N HOOPER ST
Mailing Address - Street 2:
Mailing Address - City:KINGSFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49802-5406
Mailing Address - Country:US
Mailing Address - Phone:906-776-9003
Mailing Address - Fax:
Practice Address - Street 1:505 N HOOPER ST
Practice Address - Street 2:
Practice Address - City:KINGSFORD
Practice Address - State:MI
Practice Address - Zip Code:49802-5406
Practice Address - Country:US
Practice Address - Phone:906-776-9003
Practice Address - Fax:906-776-9063
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5274235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist