Individual
HANNAH BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1759 E EDDINGTON ST, NAMPA, ID 83686-4867
(503) 351-3217
Mailing address
1759 E EDDINGTON ST, NAMPA, ID 83686-4867
(503) 351-3217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003425067
—
ID
Enumeration date
07/27/2020
Last updated
05/18/2026
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