Tage Frances Hanson

Individual provider Active NPI Speech-Language Pathologist · Aberdeen, SD

NPI 1982252706 · NPPES record last updated Aug 27, 2019

Key facts

NPI
1982252706
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
864-PROV (SD)
Practice address
414 S 10TH St # 57401
Aberdeen, SD 57401-3856
Phone
(605) 725-7200
NPI assigned
Aug 27, 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

State licenses

LicenseStateTypeSpecialty
864-PROVSDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aberdeen School District Speech-Language Pathologist Past
since Sep 1, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 864-PROV SD Yes

Addresses

Primary practice location

414 S 10TH St # 57401
Aberdeen, SD 57401-3856

Mailing address

1224 S 3Rd St # 57401
Aberdeen, SD 57401-6920
Phone (605) 725-7100

Other providers in Aberdeen, SD

All providers in Aberdeen, SD · Speech-Language Pathologist in South Dakota

Sources for this page

Verify at the official NPI Registry.