Provider Demographics
NPI:1588303622
Name:ROBERTSON, HANNAH LONA (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LONA
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:LONA
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:365 JONES STORE RD
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:VA
Mailing Address - Zip Code:23964-3000
Mailing Address - Country:US
Mailing Address - Phone:434-470-8803
Mailing Address - Fax:
Practice Address - Street 1:1100 CONFROY DR STE 4
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592-7163
Practice Address - Country:US
Practice Address - Phone:434-835-9007
Practice Address - Fax:434-323-3001
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202011160235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist