Provider Demographics
NPI:1760361349
Name:HAHN, MAIJA C (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MAIJA
Middle Name:C
Last Name:HAHN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 RAINBOW ST
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-6241
Mailing Address - Country:US
Mailing Address - Phone:909-289-3406
Mailing Address - Fax:
Practice Address - Street 1:400 FORTENBERRY RD STE B
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-3522
Practice Address - Country:US
Practice Address - Phone:321-292-2268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12071038235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist