Cherie Ann Hanson, M.A., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Lytle, TX

NPI 1073733382 · NPPES record last updated Mar 7, 2013

Key facts

NPI
1073733382
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
19965 FM 3175
Lytle, TX 78052-3481
Phone
(210) 357-0300
Fax
(830) 709-5493
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

19965 FM 3175
Lytle, TX 78052-3481

Mailing address

PO Box 725
Lytle, TX 78052-0725
Phone (210) 357-0300

Other identifiers

IdentifierTypeStateIssuer
104872OtherTXTEXAS DEPT. OF STATE HEALTH SERVICE LICENSING BOARD

Other names

  • Cherie Gillman Former name

Other providers in Lytle, TX

All providers in Lytle, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.