Most Relevant Information
Provider Data
| NPI Number: | 1003425067 |
| Provider Name: | HANNAH BRAGG CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/27/2020 |
| Last Updated: | 04/01/2024 |
Provider Practice Location
1857 S MILLENIUM WAY STE 120
MERIDIAN
ID
836421510
Practice Location Phone/Fax
| Phone: | 2086000722 |
| Fax: | 2086202134 |
Provider Mailing Location
1525 W COLORADO CT
NAMPA
ID
836868186
Provider Mailing Phone/Fax
| Phone: | 5033513217 |
| Fax: |