Provider Demographics
NPI:1154025138
Name:POWELL, HANNAH ELISE (MA SLP CCC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELISE
Last Name:POWELL
Suffix:
Gender:F
Credentials:MA SLP CCC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:BASSETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA SLP CCC
Mailing Address - Street 1:321 TALLGRASS CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-2102
Mailing Address - Country:US
Mailing Address - Phone:785-643-2381
Mailing Address - Fax:
Practice Address - Street 1:321 TALLGRASS CT
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-2102
Practice Address - Country:US
Practice Address - Phone:785-643-2381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3968235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist