Individual
MRS. KATHLEEN ANNE HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1402 MAIN ST, MANSON, IA 50563-5160
(712) 469-3908
Mailing address
1427 WILLIAMS DR, FORT DODGE, IA 50501-7557
(708) 269-7214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
001811
IA
314000000X
Skilled Nursing Facility
Primary
0001811
IA
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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