Individual
MARY A HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A PRN
Contact information
Practice address
30 HIGGINS CROWELL RD, PSYCHIATRIC COLLABORATIVE, WEST YARMOUTH, MA 02673-3444
(508) 240-7964
(508) 778-8581
Mailing address
30 HIGGINS CROWELL RD, PSYCHIATRIC COLLABORATIVE, WEST YARMOUTH, MA 02673-3444
(508) 240-7964
(508) 778-8581
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
254446
MA
Other
Enumeration date
05/11/2006
Last updated
03/12/2013
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