Individual
DR. LINDA J HANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD HSPP MAC
Contact information
Practice address
1008 W OHIO ST, ROCKVILLE, IN 47872-1536
(765) 569-5350
(765) 569-5340
Mailing address
1008 W OHIO ST, ROCKVILLE, IN 47872-1536
(765) 569-5350
(765) 569-5340
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041104B
IN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
20041104A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356184
ANTHEM
IN
05
—
200119440B
—
IN
01
—
224190A
MEDICARE PTAN
IN
01
—
753163279
SAGAMORE
IN
01
—
801182000
MAGELLAN
IN
Enumeration date
07/27/2006
Last updated
11/25/2025
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