Individual
CATHERINE ANDERSON-HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
315 USHERS RD STE 8, BALLSTON LAKE, NY 12019-1547
(518) 581-7260
(518) 633-1218
Mailing address
315 USHERS RD STE 8, BALLSTON LAKE, NY 12019-1547
(518) 581-7260
(518) 633-1218
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
013031
NY
103T00000X
Psychologist
013031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000471256001
BLUE SHIELD NENY
NY
05
—
01972169
—
NY
01
—
10030925
CDPHP #
NY
01
—
350759
MVP #
NY
01
—
680016327
RAILROAD MEDICARE CARRIER
NY
Enumeration date
05/18/2007
Last updated
03/08/2019
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