Doctor Name: | MISS LEE-ANN HANHAM |
NPI Number: | 1043461098 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 072124-1 |
Business Practice Address: | 6120 Woodside Ave Woodside, NY - 113773557 |
Business Phone Number: | 7187791234 |
Business Fax Number: | 7187797775 |
Mailing Address: | 3960 54th St, Apt. 6p WOODSIDE |
State: | NY |
Postal Code: | 113774237 |
Phone Number: | 6465153159 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 10/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 072124-1 |
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 |