Provider Demographics
NPI:1750016127
Name:ALMANZA, HANNAH RAE I
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:RAE
Last Name:ALMANZA
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 RIVER PARK LN S APT 1215
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-1156
Mailing Address - Country:US
Mailing Address - Phone:432-288-4362
Mailing Address - Fax:
Practice Address - Street 1:3213 RIVER PARK LN S APT 1215
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-1156
Practice Address - Country:US
Practice Address - Phone:432-288-4362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120033235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist