Provider Demographics
NPI:1831934470
Name:BENEDEK, HANNA TAYLOR (MS)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:TAYLOR
Last Name:BENEDEK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-9264
Mailing Address - Country:US
Mailing Address - Phone:734-545-4028
Mailing Address - Fax:
Practice Address - Street 1:242 WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-9264
Practice Address - Country:US
Practice Address - Phone:734-545-4028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101008835235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist