Provider Demographics
NPI:1487116836
Name:HANSEN SPEECH THERAPY, PLLC
Entity type:Organization
Organization Name:HANSEN SPEECH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:LAVON
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:972-768-8941
Mailing Address - Street 1:6011 AUTUMN WAY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-5567
Mailing Address - Country:US
Mailing Address - Phone:972-768-8941
Mailing Address - Fax:972-529-2385
Practice Address - Street 1:6011 AUTUMN WAY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-5567
Practice Address - Country:US
Practice Address - Phone:972-768-8941
Practice Address - Fax:972-529-2385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty