Provider Demographics
NPI:1770210601
Name:STULL, HANNAH (AUD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:STULL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13985 W GRAND AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3626
Mailing Address - Country:US
Mailing Address - Phone:623-594-5095
Mailing Address - Fax:
Practice Address - Street 1:13985 W GRAND AVE STE 101
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3626
Practice Address - Country:US
Practice Address - Phone:623-594-5095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA13827237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter