Basic Information
Provider Information
NPI: 1912497512
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GEIGER
FirstName: HANNAH
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: MS, CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1063 MCGAW AVE STE 100
Address2:  
City: IRVINE
State: CA
PostalCode: 926145554
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1063 MCGAW AVE STE 100
Address2:  
City: IRVINE
State: CA
PostalCode: 926145554
CountryCode: US
TelephoneNumber: 7348341111
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/18/2018
LastUpdateDate: 07/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X12026CAY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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