Individual
HANNAH FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 W 3RD AVE, GASTONIA, NC 28052-4058
(561) 747-8188
Mailing address
351 CAPE BRETON TRL, GASTONIA, NC 28056-8355
(786) 973-3454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14092009
ASHA
—
01
—
15234
NCBOESLPA
NC
01
—
SA16709
FL STATE LICENSE
FL
Enumeration date
08/25/2017
Last updated
04/20/2026
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