Hannah Rose White, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Clermont, GA

NPI 1124511084 · NPPES record last updated Jun 14, 2018

Key facts

NPI
1124511084
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP009929 (GA)
Practice address
130 Main St
Clermont, GA 30527-1804
Phone
(678) 616-3099
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLP009929GAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP009929 GA Yes

Addresses

Primary practice location

130 Main St
Clermont, GA 30527-1804

Mailing address

130 Main St
Clermont, GA 30527-1804
Phone (678) 616-3099

Other providers in Clermont, GA

All providers in Clermont, GA · Speech-Language Pathologist in Georgia

Sources for this page

Verify at the official NPI Registry.