Provider Demographics
NPI:1811271372
Name:HAHN, MICHELE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:HAHN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 N INDEPENDENCE AVE
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-1639
Mailing Address - Country:US
Mailing Address - Phone:785-545-6184
Mailing Address - Fax:
Practice Address - Street 1:815 N INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-1639
Practice Address - Country:US
Practice Address - Phone:785-545-6184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2020-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3183235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist