Individual
CHERIE ANN HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
19965 FM 3175, LYTLE, TX 78052-3481
(210) 357-0300
(830) 709-5493
Mailing address
PO BOX 725, LYTLE, TX 78052-0725
(210) 357-0300
(830) 709-5493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104872
TEXAS DEPT. OF STATE HEALTH SERVICE LICENSING BOARD
TX
Enumeration date
04/27/2007
Last updated
03/07/2013
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