Provider Demographics
NPI:1982951596
Name:HANSON, TAMMY LAUREN (AUD)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:LAUREN
Last Name:HANSON
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 1:124 POINCIANA DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2830
Mailing Address - Country:US
Mailing Address - Phone:407-922-1145
Mailing Address - Fax:
Practice Address - Street 1:1515 N FLAGLER DR
Practice Address - Street 2:SUITE 600
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3428
Practice Address - Country:US
Practice Address - Phone:561-659-2266
Practice Address - Fax:561-659-7846
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1651231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter