Provider Demographics
NPI:1447624341
Name:JINES, HANNAH ELIZABETH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:JINES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 E CULTON ST
Mailing Address - Street 2:APT H
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-2055
Mailing Address - Country:US
Mailing Address - Phone:636-290-5543
Mailing Address - Fax:
Practice Address - Street 1:702 E OHIO ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CLINTON
Practice Address - State:MO
Practice Address - Zip Code:64735-2371
Practice Address - Country:US
Practice Address - Phone:816-835-8910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015024555235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist