Individual
HANNAH HERC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
593 EDDY STREET POTTER 3, PROVIDENCE, RI 02903-4923
(401) 444-3534
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-7945
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02198
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2020
Last updated
09/29/2023
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