Basic Information
Provider Information
NPI: 1477082949
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEMPSEY
FirstName: HANNAH
MiddleName: BETH
NamePrefix:  
NameSuffix:  
Credential: M.A. CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3907 W MARKET ST # A
Address2:  
City: GREENSBORO
State: NC
PostalCode: 274071303
CountryCode: US
TelephoneNumber: 3362799008
FaxNumber: 3367409099
Practice Location
Address1: 3907 W MARKET ST # A
Address2:  
City: GREENSBORO
State: NC
PostalCode: 274071303
CountryCode: US
TelephoneNumber: 3362799008
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/08/2017
LastUpdateDate: 06/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X12957NCY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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