Provider Demographics
NPI:1649646613
Name:STONEMAN, HANA TARISE (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:HANA
Middle Name:TARISE
Last Name:STONEMAN
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 1:26 W DRY CREEK CIR STE 425
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8066
Mailing Address - Country:US
Mailing Address - Phone:303-794-4900
Mailing Address - Fax:
Practice Address - Street 1:26 W DRY CREEK CIR STE 425
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8066
Practice Address - Country:US
Practice Address - Phone:303-794-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0002148235Z00000X
MD14065894 (ASHA)235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist