Provider Demographics
NPI:1255221560
Name:HORMUTH, HANNAH (MS)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HORMUTH
Suffix:
Gender:X
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 MUIRFIELD CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7372
Mailing Address - Country:US
Mailing Address - Phone:636-368-6977
Mailing Address - Fax:
Practice Address - Street 1:1650 ALTURA BLVD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-4402
Practice Address - Country:US
Practice Address - Phone:636-368-6977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist