Individual
MATTI HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 S LAKEPORT ST, SIOUX CITY, IA 51106-4516
(712) 898-6333
Mailing address
5812 LORRAINE AVE, SIOUX CITY, IA 51106-3909
(712) 898-6333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
114423
IA
235Z00000X
Speech-Language Pathologist
Primary
TSLP12573
AZ
Other
Enumeration date
07/29/2020
Last updated
08/11/2023
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