Provider Demographics
NPI:1912198607
Name:DICKSON, HANNA MICHELLE (MA, SLP-CFY)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:MICHELLE
Last Name:DICKSON
Suffix:
Gender:F
Credentials:MA, SLP-CFY
Other - Prefix:
Other - First Name:HANNA
Other - Middle Name:MICHELLE
Other - Last Name:GRIMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3100 SHENANDOAH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1042
Mailing Address - Country:US
Mailing Address - Phone:713-523-3633
Mailing Address - Fax:713-523-8399
Practice Address - Street 1:3100 SHENANDOAH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-1042
Practice Address - Country:US
Practice Address - Phone:713-523-3633
Practice Address - Fax:713-523-8399
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103376235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist