Hanson, Glenda
Hanson, Glenda is an individual health care provider with primary practice located at 1200 Old Warren Road , Monticello AR 71655. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Hanson, Glenda can be contacted via phone (870) 367-6694.Contact Information
Primary practice address
1200 Old Warren Road
Monticello AR 71655
Phone: (870) 367-6694
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP1215 | Arkansas |
Profile Details
| NPI number | 1851414270 |
|---|---|
| LBN Legal business name | Hanson, Glenda |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Oct 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851414270 | NPPES |
| Arkansas | MEDICAID | 133352721 |
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