Individual
LISA HANNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 MAIN ST, BELCHERTOWN, MA 01007
(413) 323-0550
Mailing address
PO BOX 1081, BELCHERTOWN, MA 01007-1081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2446
MA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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