Provider Demographics
NPI:1336815166
Name:GREELING, HANNAH K
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:K
Last Name:GREELING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 LOCKMANN RD
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-7517
Mailing Address - Country:US
Mailing Address - Phone:618-520-1068
Mailing Address - Fax:
Practice Address - Street 1:400 BROADWAY
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-2024
Practice Address - Country:US
Practice Address - Phone:618-654-2106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist