Basic Information
| Provider Information | |||||||||
| NPI: | 1104409762 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WAFF | ||||||||
| FirstName: | HANNAH | ||||||||
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| Credential: | M.S. ED, CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 28 STONEWALL TER | ||||||||
| Address2: | |||||||||
| City: | HAMPTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 236662136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7572919508 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3800 POPLAR HILL RD STE B | ||||||||
| Address2: | |||||||||
| City: | CHESAPEAKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 233215522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7577763088 | ||||||||
| FaxNumber: | 7576124499 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2021 | ||||||||
| LastUpdateDate: | 05/03/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/03/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 2202009191 | VA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.