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Individual

DR. KERRY HANNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2300 N CHARLES ST, BALTIMORE, MD 21218-5137
(410) 396-6147
(410) 235-1827
Mailing address
2300 N CHARLES ST, BALTIMORE, MD 21218-5137
(410) 396-6147
(410) 235-1827

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2780
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400924000
MD
Enumeration date
02/28/2011
Last updated
02/28/2011
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