Provider Demographics
NPI:1962288571
Name:EDWARDS, HANNAH ROSE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ROSE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 CURTIS PL FL 2
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1916
Mailing Address - Country:US
Mailing Address - Phone:717-414-2537
Mailing Address - Fax:
Practice Address - Street 1:113 CURTIS PL FL 2
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1916
Practice Address - Country:US
Practice Address - Phone:717-414-2537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032342235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist