Provider Demographics
NPI:1881475879
Name:MENDELSOHN, HANNAH ALEXIS (MS, CF-SLP)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:ALEXIS
Last Name:MENDELSOHN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 NEWELL AVE # 1
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-4919
Mailing Address - Country:US
Mailing Address - Phone:513-828-7710
Mailing Address - Fax:
Practice Address - Street 1:137 NEWELL AVE # 1
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4919
Practice Address - Country:US
Practice Address - Phone:401-366-4193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00595-P235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist