Individual
DR. JOEL S. HANANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0414
(602) 933-4252
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-002096
AZ
103TS0200X
School Psychologist
2096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695140
—
AZ
Enumeration date
01/17/2007
Last updated
02/07/2019
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