Basic Information
| Provider Information | |||||||||
| NPI: | 1396328381 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARNTSEN | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | MS CF-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1316 W SPRING ST | ||||||||
| Address2: | |||||||||
| City: | APPLETON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 549143224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9204701465 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3151 EDEN CT | ||||||||
| Address2: | |||||||||
| City: | OSHKOSH | ||||||||
| State: | WI | ||||||||
| PostalCode: | 549046639 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9206514000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2021 | ||||||||
| LastUpdateDate: | 04/28/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/28/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.