Hannah, Deidre Michele

Hannah, Deidre Michele is an sole proprietor health care provider with primary practice located at 2001 S Oak St Ste B , Champaign IL 61820-0912. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Hannah, Deidre Michele can be contacted via phone (217) 244-1806.

Contact Information

Primary practice address
2001 S Oak St Ste B Champaign IL 61820-0912
Phone: (217) 244-1806
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1095903 Wisconsin
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3288 New Mexico

Profile Details

NPI number 1518079144
LBN Legal business name Hannah, Deidre Michele
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Apr 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518079144 NPPES
Illinois Other 1095903 BACB
Illinois Other 3288 BACB
Illinois Other 147140 BACB

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