| Doctor Name: | DEBORAH D. HANNA |
| NPI Number: | 1033208996 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW3501 |
| Business Practice Address: | 100 Executive Way Suite 113 Ponte Vedra Beach, FL - 32082 |
| Business Phone Number: | 9042736747 |
| Business Fax Number: | 9042736861 |
| Mailing Address: | Po Box 721, PONTE VEDRA BEACH |
| State: | FL |
| Postal Code: | 320040721 |
| Phone Number: | 9042736747 |
| Fax Number: | 9042736861 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 09/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |