Individual
CARLY BRECKENRIDGE HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 225-0183
Mailing address
150 STAHL RD, GETZVILLE, NY 14068-1231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/10/2011
Last updated
02/19/2021
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