| Judith L Hanna | |
|
175 Parfitt Way Sw Ste N280 Bainbridge Island WA 98110-4926 | |
| (206) 317-4570 | |
| (708) 406-1532 |
| Full Name | Judith L Hanna |
|---|---|
| Speciality | Social Worker |
| Location | 175 Parfitt Way Sw Ste N280, Bainbridge Island, Washington |
| Authorized Official Name and Position | Judith L Hanna (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2063174570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith L Hanna 11831 Olympic Terrace Ave Ne Bainbridge Island WA 98110-4293 Ph: (708) 707-1929 | Judith L Hanna 175 Parfitt Way Sw Ste N280 Bainbridge Island WA 98110-4926 Ph: (206) 317-4570 |
| NPI Number | 1144825829 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/02/2020 |
| Certification Date | 12/02/2020 |
| Medicare PECOS PAC ID | 1254744675 |
|---|---|
| Medicare Enrollment ID | O20210104001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144825829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Judith Lynn Hanna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205962917 PECOS PAC ID: 1759419989 Enrollment ID: I20190916002100 |
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