Hannah Brunner
Individual provider Active NPI Speech-Language Pathologist · Dewitt, MI
NPI 1376007724 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1376007724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7101009174 (MI)
- Practice address
- 1161 E Clark Rd Ste 360
Dewitt, MI 48820-7962 - Phone
- (517) 507-5525
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101009174 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Michigan, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
1161 E Clark Rd
Ste 360
Dewitt, MI 48820
Phone (517) 507-5525
135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101009174 | MI | Yes |
Addresses
Primary practice location
1161 E Clark Rd Ste 360
Dewitt, MI 48820-7962
Mailing address
1161 E Clark Rd Ste 360
Dewitt, MI 48820-7962
Other names
- Hannah Heidorn
Other providers in Dewitt, MI
- Shanna Marie Brewster
- Stacie Briggs
- Madison Innes Brodoski
- Marilynn Lee Brown
- Lauren Brownell
- Madison Susan Burroughs
- Shylee F Cairns
- Susan Caldwell
- Capitol Area Physical Therapy Associates, Inc
- Jessica Lee Carpenter
All providers in Dewitt, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.