Individual
DAVID E HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4360 CALEVARES DR, LEXINGTON, KY 40514-1301
(859) 619-9615
Mailing address
4360 CALEVARES DR, LEXINGTON, KY 40514-1301
(859) 619-9615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0604
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
10/11/2006
Last updated
02/10/2015
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