Provider Demographics
NPI:1982078655
Name:HANSEN, SHAUNA (SLP)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:
Last Name:HANSEN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:
Other - Last Name:MCMANUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:295 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANDOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03873-2647
Mailing Address - Country:US
Mailing Address - Phone:603-887-3648
Mailing Address - Fax:603-328-2115
Practice Address - Street 1:295 MAIN ST
Practice Address - Street 2:
Practice Address - City:SANDOWN
Practice Address - State:NH
Practice Address - Zip Code:03873-2647
Practice Address - Country:US
Practice Address - Phone:603-378-5317
Practice Address - Fax:603-328-2115
Is Sole Proprietor?:No
Enumeration Date:2015-11-18
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1474235Z00000X
MA9023235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist