| Deborah D. Hanna Lcsw Pa | |
|
100 Executive Way Suite 113 Ponte Vedra Beach FL 32082-2715 | |
| (904) 273-6747 | |
| (904) 273-6861 |
| Full Name | Deborah D. Hanna Lcsw Pa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 Executive Way, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Deborah D Hanna (OWNER) |
| Authorized Official Contact | 9042736747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah D. Hanna Lcsw Pa Po Box 721 Ponte Vedra Beach FL 32004-0721 Ph: (904) 273-6747 | Deborah D. Hanna Lcsw Pa 100 Executive Way Suite 113 Ponte Vedra Beach FL 32082-2715 Ph: (904) 273-6747 |
| NPI Number | 1366684631 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 04/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366684631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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