Provider Demographics
NPI:1972806180
Name:BIRNBAUM, HANNAH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BIRNBAUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHANI
Other - Middle Name:
Other - Last Name:BIRNBAUM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA CCC SLP
Mailing Address - Street 1:1 KANSAS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-1515
Mailing Address - Country:US
Mailing Address - Phone:732-237-5473
Mailing Address - Fax:
Practice Address - Street 1:1 KANSAS DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-1515
Practice Address - Country:US
Practice Address - Phone:848-525-7564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-09
Last Update Date:2025-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ12522123OtherCAQH