Spackman, Dagne Hanson
Spackman, Dagne Hanson is an individual health care provider with primary practice located at 3136 E Scorpio Pl , Chandler AZ 85249-9644. 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. Spackman, Dagne Hanson can be contacted via phone (602) 301-6030.Contact Information
Primary practice address
3136 E Scorpio Pl
Chandler AZ 85249-9644
Phone: (602) 301-6030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP0680 | Arizona |
Profile Details
| NPI number | 1427115914 |
|---|---|
| LBN Legal business name | Spackman, Dagne Hanson |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Aug 25th, 2014 - about 11 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 | 1427115914 | NPPES |
| Arizona | MEDICAID | 493700 |
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