Basic Information
| Provider Information | |||||||||
| NPI: | 1578207155 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MICHAELIS | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | LEVAINE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | BA, SLP-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1484 FAIRVIEW CIR | ||||||||
| Address2: | |||||||||
| City: | REUNION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 347476777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6892311570 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1820 ARMSTRONG BLVD | ||||||||
| Address2: | |||||||||
| City: | KISSIMMEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 347412589 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4079040136 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2022 | ||||||||
| LastUpdateDate: | 04/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2355S0801X | SI5218 | FL | Y | 193200000X MULTI-SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant |
No ID Information.