Molly Georgianne Hanford, MS TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5333 Issued in NM

Practice address

200 Center Ave.
Moriarty, NM 87035

Phone

(505) 832-4471

Fax

(505) 832-4472

NPI assigned

Jan 23, 2013

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Moriarty-Edgewood School District

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1346558376
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1891033072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010041",
            "telephone_number": "315-788-2730",
            "fax_number": "315-788-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER AVE.",
            "city": "MORIARTY",
            "state": "NM",
            "postal_code": "87035",
            "telephone_number": "505-832-4471",
            "fax_number": "505-832-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANFORD",
        "first_name": "MOLLY",
        "middle_name": "GEORGIANNE",
        "name_prefix": "Miss",
        "credential": "MS TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foundation for Change Integrated Health
• Fowler Enterprises Inc (East Mountain Physical Therapy)
• James Mark Fowler, P.T.
• Ashley Gambling, FNP-C
• Brittney Arlena Gibbons
• Terry J Hare, LMT
• Healing Word LLC
• Zackery Herrera
• High Plains Medical, Inc. (New Mexico Medical)
• Toby Hurtado

• Speech-Language Pathologist in Moriarty, NM
• Providers in Moriarty, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.