Individual
CARRIE C HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305
(952) 939-0396
(952) 548-8760
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 939-0396
(952) 548-8760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013007623
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12096875
CAQH
—
01
—
2013007623
MISSOURI SPEECH LANGUAGE PATHOLOGY LICENSE
MO
Enumeration date
10/06/2006
Last updated
07/10/2018
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