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Michael Stewart Hanson

Speech-Language Pathologist, in Holland, MI. Individual provider (NPI-1).

NPI number1871069765
StatusActive
Last updated in NPPESMar 8, 2021

Details

NPI
1871069765
Entity type
Individual (NPI-1)
Name
Michael Stewart Hanson
Sex
Male
Sole proprietor
No
Enumeration date
Oct 17, 2018
Certification date
Mar 8, 2021
Last updated
Mar 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,7101007350MIYes

Practice location

142 E 34th St
Holland, MI 49423-7004

Phone 914-424-4094

Mailing address

142 E 34th St
Holland, MI 49423-7004

Phone 914-424-4094

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