Provider Demographics
NPI:1548309859
Name:TRAHAN, HANNAH LEIGH ROSE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:LEIGH ROSE
Last Name:TRAHAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
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Mailing Address - Street 1:111 DARTMOUTH WOODS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-5115
Mailing Address - Country:US
Mailing Address - Phone:774-473-0066
Mailing Address - Fax:
Practice Address - Street 1:1 POSA PL
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2511
Practice Address - Country:US
Practice Address - Phone:508-996-3391
Practice Address - Fax:508-996-3397
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MASP7251SL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA14788OtherHARVARD PILGRIM
MA1548309859OtherBOSTON MEDICAL CENTER HEALTHNET PLAN
MA70010000SP0299OtherBLUE CROSS BLUE SHIELD OF MASSACHUSETTS