Provider Demographics
NPI:1447741186
Name:KLINGAMAN, HANNA E (AUD)
Entity type:Individual
Prefix:DR
First Name:HANNA
Middle Name:E
Last Name:KLINGAMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3566 CAPITAL AVE SW STE 100
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-9353
Mailing Address - Country:US
Mailing Address - Phone:269-979-6455
Mailing Address - Fax:269-979-6458
Practice Address - Street 1:3566 CAPITAL AVE SW STE 100
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-9353
Practice Address - Country:US
Practice Address - Phone:269-979-6455
Practice Address - Fax:269-979-6458
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000796231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1601000796OtherAUD LICENSE