Most Relevant Information
Provider Data
| NPI Number: | 1003399494 |
| Provider Name: | DANA LYNN HANIFAN MA, CCC |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 7101002029 |
Most Important Dates
| Enumeration Date: | 09/11/2018 |
| Last Updated: | 09/11/2018 |
Provider Practice Location
1500 E MEDICAL CENTER DR
ANN ARBOR
MI
481095000
Practice Location Phone/Fax
| Phone: | 7349367068 |
| Fax: | 7346151532 |
Provider Mailing Location
1500 E MEDICAL CENTER DR
ANN ARBOR
MI
481095000
Provider Mailing Phone/Fax
| Phone: | 7349367068 |
| Fax: | 7346151532 |