Individual
DR. ERIC MITCHELL HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
106 THORN ST, SAN DIEGO, CA 92103-5629
(619) 354-7400
Mailing address
106 THORN ST, SAN DIEGO, CA 92103-5629
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20506
CA
Other
Enumeration date
11/30/2017
Last updated
09/02/2021
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