Provider Demographics
NPI:1871322628
Name:MCNEAL, HANNAH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1562 13TH TRL
Mailing Address - Street 2:
Mailing Address - City:COTOPAXI
Mailing Address - State:CO
Mailing Address - Zip Code:81223-9732
Mailing Address - Country:US
Mailing Address - Phone:719-285-3959
Mailing Address - Fax:
Practice Address - Street 1:1562 13TH TRL
Practice Address - Street 2:
Practice Address - City:COTOPAXI
Practice Address - State:CO
Practice Address - Zip Code:81223-9732
Practice Address - Country:US
Practice Address - Phone:719-285-3959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0006533235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist