Provider Demographics
NPI:1447641675
Name:HODGSON, HANNAH ROSE PETITT (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ROSE PETITT
Last Name:HODGSON
Suffix:
Gender:
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ROSE
Other - Last Name:PETITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:412 WINGATE DR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-3063
Mailing Address - Country:US
Mailing Address - Phone:847-322-1524
Mailing Address - Fax:
Practice Address - Street 1:412 WINGATE DR
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-3063
Practice Address - Country:US
Practice Address - Phone:847-322-1524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-10
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.011165235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist