| C. Patricia Hanley, Ph.d Pllc | |
|
17 Main St Durham NH 03824-2501 | |
| (603) 817-5170 | |
| Not Available |
| Full Name | C. Patricia Hanley, Ph.d Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17 Main St, Durham, New Hampshire |
| Authorized Official Name and Position | C. Patricia Hanley (MEMBER/PSYCHOLOGIST) |
| Authorized Official Contact | 6038175170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Patricia Hanley, Ph.d Pllc Po Box 862 Durham NH 03824-0862 Ph: (603) 817-5170 | C. Patricia Hanley, Ph.d Pllc 17 Main St Durham NH 03824-2501 Ph: (603) 817-5170 |
| NPI Number | 1215444161 |
|---|---|
| Provider Enumeration Date | 01/01/2018 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Medicare PECOS PAC ID | 0840552352 |
|---|---|
| Medicare Enrollment ID | O20180321002103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215444161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 511 (New Hampshire) | Primary |
| Provider Name | C. Patricia Hanley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366659443 PECOS PAC ID: 0143518944 Enrollment ID: I20161011002318 |
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