Provider Demographics
NPI:1356011894
Name:HANNAH, MEGAN RENEE (MA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:RENEE
Last Name:HANNAH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:RENEE
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:65 DORSET RUN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-1302
Mailing Address - Country:US
Mailing Address - Phone:513-509-7211
Mailing Address - Fax:
Practice Address - Street 1:65 DORSET RUN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-1302
Practice Address - Country:US
Practice Address - Phone:513-509-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
OK6320235Z00000X
NC30001765235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist