| Doctor Name: | CAROL HANEY |
| NPI Number: | 1124407622 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | I.1000105 |
| Business Practice Address: | 2113 S 7th St Ironton, OH - 456382538 |
| Business Phone Number: | 7405330055 |
| Business Fax Number: | 7405331511 |
| Mailing Address: | 2113 S 7th St, IRONTON |
| State: | OH |
| Postal Code: | 456382538 |
| Phone Number: | 7405330055 |
| Fax Number: | 7405331511 |
| NPI Enumeration Date: | 05/29/2015 |
| NPI Last Update Date: | 05/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I.1000105 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |