Most Relevant Information
Provider Data
| NPI Number: | 1003217464 |
| Provider Name: | JULIANNE HANSEN TSSLD |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/04/2014 |
| Last Updated: | 09/04/2014 |
Provider Practice Location
941 SOUTH AVE
ROCHESTER
NY
146202746
Practice Location Phone/Fax
| Phone: | 5854732858 |
| Fax: | 5854613771 |
Provider Mailing Location
941 SOUTH AVE
ROCHESTER
NY
146202746
Provider Mailing Phone/Fax
| Phone: | 5854732858 |
| Fax: | 5854613771 |