Johanna Hattier, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Selbyville, DE

NPI 1376192187 · NPPES record last updated Sep 5, 2019

Key facts

NPI
1376192187
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
O1-0001757 (DE)
Practice address
31 Hosier St
Selbyville, DE 19975-9300
Phone
(302) 436-1000
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 Science

State licenses

LicenseStateTypeSpecialty
O1-0001757DEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware Past
since Sep 8, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X O1-0001757 DE Yes

Addresses

Primary practice location

31 Hosier St
Selbyville, DE 19975-9300

Mailing address

31 Hosier St
Selbyville, DE 19975-9300
Phone (302) 436-1000

Other providers in Selbyville, DE

All providers in Selbyville, DE · Speech-Language Pathologist in Delaware

Sources for this page

Verify at the official NPI Registry.