Most Relevant Information
Provider Data
| NPI Number: | 1003042508 |
| Provider Name: | SAMANTHA LONETTA RAE HANNAH M.A. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 22003994A |
Most Important Dates
| Enumeration Date: | 06/10/2009 |
| Last Updated: | 06/10/2009 |
Provider Practice Location
8921 SOUTHPOINTE DR
SUITE C-1
INDIANAPOLIS
IN
462271084
Practice Location Phone/Fax
| Phone: | 3178811718 |
| Fax: | 3178811728 |
Provider Mailing Location
8921 SOUTHPOINTE DR
SUITE C-1
INDIANAPOLIS
IN
462271084
Provider Mailing Phone/Fax
| Phone: | 3178811718 |
| Fax: | 3178811728 |