Doctor Name: | RICHARD HANEMANN |
NPI Number: | 1033445010 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW-R |
License Number: | 73071282 |
Business Practice Address: | 7,croton Ave Cortlandt Manor, NY - 105674329 |
Business Phone Number: | 9149625800 |
Business Fax Number: | 8153015504 |
Mailing Address: | 7 Croton Ave, CORTLANDT MANOR |
State: | NY |
Postal Code: | 105675203 |
Phone Number: | 9149625800 |
Fax Number: | 8153015504 |
NPI Enumeration Date: | 10/26/2009 |
NPI Last Update Date: | 02/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 73071282 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |