Molly Georgianne Hanford, MS TSSLD
Individual provider Active NPI Speech-Language Pathologist · Moriarty, NM
NPI 1891033072 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1891033072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5333 (NM)
- Practice address
- 200 Center Ave.
Moriarty, NM 87035 - Phone
- (505) 832-4471
- Fax
- (505) 832-4472
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- Sole proprietor
- No
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)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5333 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moriarty-Edgewood School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5333 | NM | Yes |
Addresses
Primary practice location
200 Center Ave.
Moriarty, NM 87035
Mailing address
PO Box 41
Watertown, NY 13601-0041
Phone (315) 788-2730
Other providers in Moriarty, NM
- Foundation for Change Integrated Health
- Fowler Enterprises Inc
- James Mark Fowler
- Ashley Gambling
- Brittney Arlena Gibbons
- Terry J Hare
- Healing Word LLC
- Zackery Herrera
- High Plains Medical, Inc.
- Toby Hurtado
All providers in Moriarty, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. 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.