Provider Demographics
NPI:1649609520
Name:ALLEN, HANNAH L (MCD, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:L
Last Name:ALLEN
Suffix:
Gender:
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 HYDE PARK CV
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-1902
Mailing Address - Country:US
Mailing Address - Phone:870-215-1613
Mailing Address - Fax:
Practice Address - Street 1:5205 W KINGSHIGHWAY
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-3430
Practice Address - Country:US
Practice Address - Phone:870-215-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist