Provider Demographics
NPI:1043926629
Name:CORR, HANNA CAITLIN (SLPA)
Entity type:Individual
Prefix:MS
First Name:HANNA
Middle Name:CAITLIN
Last Name:CORR
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21048 S 162ND ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-8415
Mailing Address - Country:US
Mailing Address - Phone:602-708-4382
Mailing Address - Fax:
Practice Address - Street 1:21048 S 162ND ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-8415
Practice Address - Country:US
Practice Address - Phone:602-708-4382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA143002355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant