Doctor Name: | HANNAH ELIZABETH EPISCOPO |
NPI Number: | 1104252121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 5719-125 |
Business Practice Address: | 40 Jewelers Park Dr Suite 200 Neenah, WI - 549563893 |
Business Phone Number: | 9208094070 |
Business Fax Number: | |
Mailing Address: | N1319 Westgreen Dr, GREENVILLE |
State: | WI |
Postal Code: | 549429685 |
Phone Number: | 9208094070 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2013 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5719-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |