Individual provider · Type 1 NPI

Mary Marie Hansen, MA, CCC-ALP

Speech-Language Pathologist · New London, WI

NPI number 1730500950 Active

Practice location

107 E Beckert Rd
New London, WI 54961-2509

Call (920) 982-5354 Map

Mailing address

N3936 Washington Ave Apt 4
Freedom, WI 54130-6901

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X14072042 (WI)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1730500950

Mary Marie Hansen, MA, CCC-ALP's National Provider Identifier is 1730500950, issued on Dec 16, 2013. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in New London, WI. The record was last updated on Dec 16, 2013.