Individual
MRS. SAMANTHA LONETTA RAE HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
8921 SOUTHPOINTE DR, SUITE C-1, INDIANAPOLIS, IN 46227-1084
(317) 881-1718
(317) 881-1728
Mailing address
8921 SOUTHPOINTE DR, SUITE C-1, INDIANAPOLIS, IN 46227-1084
(317) 881-1718
(317) 881-1728
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003994A
IN
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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