Provider Demographics
NPI:1811738727
Name:GASSAWAY, HANNAH ELIZABETH (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:GASSAWAY
Suffix:
Gender:
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ELIXABETH
Other - Last Name:GAMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CF-SLP
Mailing Address - Street 1:1111 N 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-1809
Mailing Address - Country:US
Mailing Address - Phone:918-683-4621
Mailing Address - Fax:918-683-4002
Practice Address - Street 1:1111 N 36TH ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-1809
Practice Address - Country:US
Practice Address - Phone:918-683-4621
Practice Address - Fax:918-683-4002
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6420235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist