Individual
DR. MAUREEN THERESA HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
26 PURTELL AVENUE, LATHAM, NY 12110
(518) 786-0699
Mailing address
26 PURTELL AVENUE, LATHAM, NY 12110
(518) 210-2487
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1015731
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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