Doctor Name: | ANN S. HANNIGAN |
NPI Number: | 1144417114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LPC |
License Number: | 59920 |
Business Practice Address: | 8555 E Loop 1604 N Converse, TX - 781092915 |
Business Phone Number: | 2106591901 |
Business Fax Number: | |
Mailing Address: | 13 Champion Trl, SAN ANTONIO |
State: | TX |
Postal Code: | 782584808 |
Phone Number: | 2104813462 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2007 |
NPI Last Update Date: | 10/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 59920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |