Individual
JENNIS E. HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
60 EVERGREEN PL FL 10, EAST ORANGE, NJ 07018-2107
(973) 395-5500
(973) 395-9916
Mailing address
70 GATES AVE, MONTCLAIR, NJ 07042-3213
(973) 655-0432
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00338600
NJ
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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