Provider Demographics
NPI:1396544623
Name:HANSON, NATASHA ARIELLE PEAT (MS-CCC-SLP)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:ARIELLE PEAT
Last Name:HANSON
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6215 BIG BEND CV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5526
Mailing Address - Country:US
Mailing Address - Phone:213-880-5257
Mailing Address - Fax:
Practice Address - Street 1:11349 ALAMO RANCH PKWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6485
Practice Address - Country:US
Practice Address - Phone:210-598-5183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123394235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist