Provider Demographics
NPI:1649025347
Name:GERVASINI, HANNAH (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:GERVASINI
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 1:191 S QUINCE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6999
Mailing Address - Country:US
Mailing Address - Phone:720-878-1197
Mailing Address - Fax:
Practice Address - Street 1:2851 S PARKER RD STE 570
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2749
Practice Address - Country:US
Practice Address - Phone:720-535-5671
Practice Address - Fax:303-362-8986
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14318401235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist