Provider Demographics
NPI:1053540138
Name:HANBERRY, VANNE THOMPSON (MED, SLP)
Entity type:Individual
Prefix:MRS
First Name:VANNE
Middle Name:THOMPSON
Last Name:HANBERRY
Suffix:
Gender:F
Credentials:MED, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 DUTCH ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-7212
Mailing Address - Country:US
Mailing Address - Phone:912-354-8998
Mailing Address - Fax:
Practice Address - Street 1:151 DUTCH ISLAND DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-7212
Practice Address - Country:US
Practice Address - Phone:912-354-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001654235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist