Provider Demographics
NPI:1831075019
Name:GAEUMAN, HANALI DARA (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:HANALI
Middle Name:DARA
Last Name:GAEUMAN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 NEAR CT APT 410
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5613
Mailing Address - Country:US
Mailing Address - Phone:530-739-0476
Mailing Address - Fax:
Practice Address - Street 1:2021 YGNACIO VALLEY RD STE C202
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3392
Practice Address - Country:US
Practice Address - Phone:925-945-1474
Practice Address - Fax:925-945-1483
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist