Basic Information
| Provider Information | |||||||||
| NPI: | 1275565830 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HANSON | ||||||||
| FirstName: | HUGH | ||||||||
| MiddleName: | JALMER | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.A., SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 978 CHAMBERS ST | ||||||||
| Address2: | SUITE #1 | ||||||||
| City: | OGDEN | ||||||||
| State: | UT | ||||||||
| PostalCode: | 844034861 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8013995601 | ||||||||
| FaxNumber: | 8013942230 | ||||||||
| Practice Location | |||||||||
| Address1: | 978 CHAMBERS ST | ||||||||
| Address2: | SUITE #1 | ||||||||
| City: | OGDEN | ||||||||
| State: | UT | ||||||||
| PostalCode: | 844034861 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8013995601 | ||||||||
| FaxNumber: | 8013942230 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 111923-4102 | UT | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.