Organization
THE NARROW GATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA J HANNER PHD HSPP MAC (PROVIDER/ADMIN/MEMBER)
(765) 569-5350
Entity
Organization
Contact information
Practice address
1008 W OHIO ST, ROCKVILLE, IN 47872-1536
(765) 569-5350
(765) 569-5340
Mailing address
1008 W OHIO ST, ROCKVILLE, IN 47872-1536
(765) 569-5350
(765) 569-5340
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041104A
IN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
20041104A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200904480A
—
IN
01
—
224190
PTAN
IN
Enumeration date
02/27/2007
Last updated
11/07/2024
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