Individual
BRIAN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
444 N NORTHWEST HWY, SUITE 375, PARK RIDGE, IL 60068-3263
(224) 764-1879
Mailing address
444 N NORTHWEST HWY, SUITE 375, PARK RIDGE, IL 60068-3263
(224) 764-1879
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008244
IL
Other
Enumeration date
04/30/2008
Last updated
06/19/2015
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