Individual
PAMELA MARIE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP AVT
Contact information
Practice address
6701 W CHARLESTON BLVD # 26, LAS VEGAS, NV 89146
(702) 341-8352
(702) 341-8365
Mailing address
9420 CALICO GARDEN AVE, LAS VEGAS, NV 89134-0164
(702) 215-9382
(702) 341-8365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-170
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003402059
—
NV
Enumeration date
08/21/2006
Last updated
01/09/2023
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