Individual
HANNA VANESSA TANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3252 HOLIDAY CT STE 201, LA JOLLA, CA 92037-1808
(858) 371-3737
Mailing address
135 LIVERPOOL DR, STE A, PO BOX 114, ENCINITAS, CA 92024-5107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35786
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2023
Last updated
04/25/2025
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